Organization
KING VISION OF FORT WORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD WOODARD (MANAGER)
(214) 476-2448
Entity
Organization
Contact information
Practice address
5863 FOXGLOVE LN, DALLAS, TX 75249-1625
(214) 476-2448
Mailing address
5863 FOXGLOVE LN, DALLAS, TX 75249-1625
(214) 476-2448
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
03/31/2021
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