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1992223085
2017 FWUC MEDICAL PROFESSIONALS PLLC
AZLE, TX
NPI
1992223085
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Entity Type
Organization
Authorized Contact
JOHN BRAXTON NEIMAN
General Counsel
817-421-0034
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2017-09-08
Last Update Date
2017-09-08
Business Address
2017 FWUC MEDICAL PROFESSIONALS PLLC
601 NORTHWEST PKWY STE C
AZLE, TX 76020-2930
Phone number: 817-270-0777
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Mailing Address
2017 FWUC MEDICAL PROFESSIONALS PLLC
920 S KIMBALL AVE
SOUTHLAKE, TX 76092-9016
Phone number: 817-527-3403
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