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1467025676
ER OF WATAUGA PLLC
FORT WORTH, TX
NPI
1467025676
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Entity Type
Organization
Authorized Contact
ABBAS R MIAN
President
214-906-8899
Organization Subpart ?
No
Primary Taxonomy
261QE0002X Clinic/Center, Emergency Care
Enumeration Date
2021-07-24
Last Update Date
2022-08-04
Business Address
ER OF WATAUGA PLLC
5401 BASSWOOD BLVD
FORT WORTH, TX 76137-6909
Phone number: 179-455-5008
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Mailing Address
ER OF WATAUGA PLLC
5401 BASSWOOD BLVD
FORT WORTH, TX 76137-6909
Phone number: 179-455-5008
Copy
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