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1629300603
FORT WORTH PEDIATRICS
FORT WORTH, TX
NPI
1629300603
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Entity Type
Organization
Authorized Contact
DIANE RICHEY
Administrator
817-336-4040
Organization Subpart ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
Enumeration Date
2010-02-02
Last Update Date
2011-06-15
Business Address
FORT WORTH PEDIATRICS
6401 HARRIS PKWY SUITE 100
FORT WORTH, TX 76132-6101
Phone number: 817-346-2525
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Mailing Address
FORT WORTH PEDIATRICS
5708 EDWARDS RANCH ROAD
FORT WORTH, TX 76109
Phone number: 817-336-4040
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