Organization
SOUTHWEST PHYSICAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN G CARTER (P)
(817) 945-2277
Entity
Organization
Contact information
Practice address
7313 S HULEN ST, FT WORTH, TX 76133-6616
(817) 346-0453
Mailing address
7313 S HULEN ST, FT WORTH, TX 76133-6616
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
N3814
TX
Other
Enumeration date
10/06/2015
Last updated
04/18/2016
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