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1710219795
FORT WORTH PEDIATRICS
FORT WORTH, TX
NPI
1710219795
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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
2010-02-02
Business Address
FORT WORTH PEDIATRICS
1108 S HENDERSON ST
FORT WORTH, TX 76104-4430
Phone number: 817-335-3255
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Mailing Address
FORT WORTH PEDIATRICS
1108 S HENDERSON ST
FORT WORTH, TX 76104-4430
Phone number: 817-335-3255
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