Individual
ALEX B. BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6451 BRENTWOOD STAIR RD, #200, FORT WORTH, TX 76112-3200
(817) 496-9700
Mailing address
6451 BRENTWOOD STAIR RD, #200, FORT WORTH, TX 76112-3200
(817) 496-9700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P7610
TX
Other
Enumeration date
04/04/2011
Last updated
01/23/2015
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