Individual
DR. JOHN ANDREW PUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5450 CLEARFORK MAIN ST STE 420, FORT WORTH, TX 76109-3559
(817) 784-8268
(817) 346-6173
Mailing address
5450 CLEARFORK MAIN ST STE 420, FORT WORTH, TX 76109-3559
(817) 784-8268
(817) 346-6173
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H2701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129073606
—
TX
05
—
129073607
—
TX
05
—
129073608
—
TX
Enumeration date
05/27/2006
Last updated
11/01/2019
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