CLINIC 21 OF FT. WORTH, LLC

FORT WORTH, TX
NPI1700257763
Entity TypeOrganization
Authorized ContactDAVID C PACKO
President
330-493-4443
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2015-10-15
Last Update Date2016-01-13
Business Address
CLINIC 21 OF FT. WORTH, LLC
5450 CLEARFORK MAIN STREET SUITE 100
FORT WORTH, TX 76109-3559
Phone number: 817-732-9372
Mailing Address
CLINIC 21 OF FT. WORTH, LLC
4535 DRESSLER RD NW
CANTON, OH 44718-2545
Phone number: 330-493-4443
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