Organization
FORT WORTH MEDTEX LP
Active
Other names
MEDTEX OF FORT WORTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GREENWALD MD, PHD (QWNER)
(314) 367-0777
Entity
Organization
Contact information
Practice address
1307 8TH AVE, SUITE 603, FORT WORTH, TX 76104-4137
(817) 924-4700
(817) 924-4703
Mailing address
1034 S BRENTWOOD BLVD, SUITE 1250, SAINT LOUIS, MO 63117-1223
(817) 924-4700
(817) 924-4703
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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