Individual
DR. JOHN L FEWINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 COOPER ST STE 100A, FORT WORTH, TX 76104-2528
(817) 335-0368
(817) 335-5766
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 335-5766
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L6377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158349402
—
TX
01
—
P00785507
RAILROAD ROAD MEDICARE
TX
Enumeration date
05/02/2006
Last updated
09/20/2019
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