DGB SUPPORT ENT

FORT WORTH, TX
NPI1700162161
Entity TypeOrganization
Authorized ContactDORIS BENJAMIN
Program Manager
817-534-4448
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
Enumeration Date2011-10-31
Last Update Date2011-10-31
Business Address
DGB SUPPORT ENT
2320 BLUE SMOKE CT N
FORT WORTH, TX 76105-1003
Phone number: 817-534-4448
Mailing Address
DGB SUPPORT ENT
2320 BLUE SMOKE CT N
FORT WORTH, TX 76105-1003
Phone number: