Individual
SHAWN R FITZSIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2294
(817) 321-0404
Mailing address
1320 S UNIVERSITY DR STE 500, FORT WORTH, TX 76107-5732
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
60872
TN
2085R0202X
Diagnostic Radiology Physician
Primary
V5072
TX
Other
Enumeration date
05/07/2014
Last updated
04/14/2025
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