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1538140710
PEDIATRIC SURGICAL ASSOCIATES OF FT. WORTH, P. A.
FORT WORTH, TX
NPI
1538140710
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Entity Type
Organization
Authorized Contact
DEBRA LOCKETT
Administrator
817-336-7881
Organization Subpart ?
No
Primary Taxonomy
2086S0120X Surgery Pediatric Surgery
Enumeration Date
2005-11-07
Last Update Date
2010-06-17
Business Address
PEDIATRIC SURGICAL ASSOCIATES OF FT. WORTH, P. A.
901 7TH AVE SUITE 210
FORT WORTH, TX 76104-2722
Phone number: 817-336-7881
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Mailing Address
PEDIATRIC SURGICAL ASSOCIATES OF FT. WORTH, P. A.
901 7TH AVE SUITE 210
FORT WORTH, TX 76104-2722
Phone number: 817-336-7881
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