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1912260506
ALLIANCE PRIMARY CARE ASSOC PLLC
FORT WORTH, TX
NPI
1912260506
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Entity Type
Organization
Authorized Contact
BRUCE MARTIN
CEO
817-741-5437
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX L8824)
Enumeration Date
2012-06-19
Last Update Date
2016-08-16
Business Address
ALLIANCE PRIMARY CARE ASSOC PLLC
12461 TIMBERLAND BLVD SUITE 309
FORT WORTH, TX 76244-5213
Phone number: 817-741-5437
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Mailing Address
ALLIANCE PRIMARY CARE ASSOC PLLC
12461 TIMBERLAND BLVD SUITE 309
FORT WORTH, TX 76244-5213
Phone number: 817-741-5437
Copy
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