| NPI | 1639963598 |
|---|---|
| Doing Business As | LV MEDICAL FORT WORTH |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN LANCE President/Manager 817-662-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-05-16 |