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Organization

DW FIRST HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEREK WRZESINSKI PA-C (PHYSICIAN ASSISTANT)
(817) 614-2364
Entity
Organization

Contact information

Practice address
5350 LANSDOWNE AVE, FORT WORTH, TX 76135-1415
(817) 614-2364
Mailing address
5350 LANSDOWNE AVE, FORT WORTH, TX 76135-1415
(817) 614-2364

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
07/03/2023
Last updated
07/03/2023
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