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1912925405
HEIDI L MEDCALF
FORT WORTH, TX
NPI
1912925405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04265)
Enumeration Date
2006-07-17
Last Update Date
2009-09-23
Business Address
HEIDI L MEDCALF PA
1500 S MAIN ST STE 303
FORT WORTH, TX 76104
Phone number: 817-921-3431
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Mailing Address
HEIDI L MEDCALF PA
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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