Organization
ALL PRO REHABILITATION & PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MARCIANO DPM (PARTNER)
(817) 308-6613
Entity
Organization
Contact information
Practice address
4444 HERITAGE TRACE PKWY STE 404, FORT WORTH, TX 76244-8944
(817) 741-2776
(817) 442-8637
Mailing address
1940 E STATE HIGHWAY 114 STE 150, SOUTHLAKE, TX 76092-6526
(817) 424-3668
(817) 442-8637
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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