Organization
CARDIOVASCULAR CENTER OF FORT WORTH, LP
Active
Other names
Cardiovascular Institute of Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C SCOGGIN (SENIOR VICE PRESIDENT)
(972) 401-8772
Entity
Organization
Contact information
Practice address
1650 W ROSEDALE ST, SUITE 206, FORT WORTH, TX 76104-7400
(817) 877-0052
(817) 877-4103
Mailing address
1650 W ROSEDALE ST, SUITE 206, FORT WORTH, TX 76104-7400
(817) 877-0052
(817) 877-4103
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
291U00000X - CLINICA
TX
Other
Enumeration date
12/20/2006
Last updated
11/08/2007
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