| NPI | 1578534541 |
|---|---|
| Doing Business As | EAST FORT WORTH MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ADOLPHUS RAY LEWIS Owner/Physician 817-534-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-01-31 |