Organization
MODERN SURGERY CENTER OF FORT WORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORTNI CAMPBELL RN (DIRECTOR)
(940) 389-6207
Entity
Organization
Contact information
Practice address
3416 LOVELL AVE, FORT WORTH, TX 76107-5718
(817) 228-4315
Mailing address
3455 LOCKE AVE STE 320, FORT WORTH, TX 76107-5747
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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