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1972046209
SOM PHYSICIAN ASSOCIATES PLLC
FORT WORTH, TX
NPI
1972046209
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Entity Type
Organization
Authorized Contact
SHAMSIDEEN MUSA
President
773-552-7426
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: TX q4477)
Enumeration Date
2016-11-17
Last Update Date
2016-11-17
Business Address
SOM PHYSICIAN ASSOCIATES PLLC
4716 E LANCASTER AVE
FORT WORTH, TX 76103-3836
Phone number: 817-413-8000
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Mailing Address
SOM PHYSICIAN ASSOCIATES PLLC
4237 CRESTFIELD DR
RICHARDSON, TX 75082-5301
Phone number: 773-552-7426
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