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1316100084
MATTHEW PAUL FIESTA
FORT WORTH, TX
NPI
1316100084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX N5674)
Enumeration Date
2008-07-03
Last Update Date
2022-07-21
Business Address
-- MATTHEW PAUL FIESTA MD
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0300
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Mailing Address
-- MATTHEW PAUL FIESTA MD
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0937
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