Organization
OLYMPUS PAIN AND ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY ALONZO (MANGER)
(469) 998-2400
Entity
Organization
Contact information
Practice address
1001 12TH AVE STE 154, FORT WORTH, TX 76104-3929
(469) 998-2400
(469) 998-2401
Mailing address
1001 12TH AVE STE 154, FORT WORTH, TX 76104-3929
(469) 998-2400
(469) 998-2401
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
Q8858
TX
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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