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Organization

PEDIATRIC URGENT CARE CENTER OF NORTH TEXAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL COWAN D.O. (OWNER)
(817) 271-4309
Entity
Organization

Contact information

Practice address
3400 TEXAS SAGE TRL, 148, FORT WORTH, TX 76177-8603
(817) 271-4309
(817) 750-7336
Mailing address
3400 TEXAS SAGE TRL, 148, FORT WORTH, TX 76177-8603
(817) 271-4309
(817) 750-7336

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
H9459
TX

Other

Enumeration date
09/12/2012
Last updated
09/12/2012
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