| Fws PLLC. | |
|
3616 Tulsa Way Fort Worth TX 76107-3342 | |
| (817) 732-3357 | |
| Not Available |
| Full Name | Fws PLLC. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3616 Tulsa Way, Fort Worth, Texas |
| Authorized Official Name and Position | Ghaznia Khan (CEO) |
| Authorized Official Contact | 4692697246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fws PLLC. 1612 Pennsylvania Ave Fort Worth TX 76104-2029 Ph: (817) 926-1300 | Fws PLLC. 3616 Tulsa Way Fort Worth TX 76107-3342 Ph: (817) 732-3357 |
| NPI Number | 1164201828 |
|---|---|
| Provider Enumeration Date | 09/22/2023 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164201828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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