Organization
ADVANCED MEDICAL OF NORTH TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER SHANLEY (OWNER)
(817) 605-9500
Entity
Organization
Contact information
Practice address
5500 N TARRANT PKWY STE 108, FORT WORTH, TX 76244-5392
(817) 605-9500
(817) 605-9503
Mailing address
5500 N TARRANT PKWY STE 108, FORT WORTH, TX 76244-5392
(817) 605-9500
(817) 605-9503
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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