Organization
CENTRAL PARK EAR NOSE & THROAT LLP FORT WORTH
Active
Parent organization
CENTRAL PARK EAR NOSE & THROAT LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL PARK EAR NOSE & THROAT LLP
Authorized official
MRS. GRACE BERMINGHAM (ADMINISTRATIVE SERVICES MANAGER)
(817) 335-6336
Entity
Organization
Contact information
Practice address
800 8TH AVE STE 618, FORT WORTH, TX 76104-2605
(817) 335-6336
Mailing address
409 CENTRAL PARK DR, ARLINGTON, TX 76014-2069
(817) 261-9191
(817) 784-8301
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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