PSN FW HOLDCO, LLC

FORT WORTH, TX
NPI1740780956
Entity TypeOrganization
Authorized ContactJORDAN FOWLER
CEO
917-216-6285
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2018-02-14
Last Update Date2019-02-28
Business Address
PSN FW HOLDCO, LLC
975 HASKELL STREET
FORT WORTH, TX 76107
Phone number: 817-945-8000
Mailing Address
PSN FW HOLDCO, LLC
1900 ENCHANTED WAY SUITE 100
GRAPEVINE, TX 76051
Phone number: 682-223-5552
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