| Central Medico LLC | |
|
1220 N Main St Suite 100 Fort Worth TX 76164-9168 | |
| (817) 378-0777 | |
| (817) 378-9522 |
| Full Name | Central Medico LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1220 N Main St, Fort Worth, Texas |
| Authorized Official Name and Position | Maryna Lombard (ADMINISTRATOR) |
| Authorized Official Contact | 8173780777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Medico LLC 1220 N Main St Suite 100 Fort Worth TX 76164-9168 Ph: (817) 378-0777 | Central Medico LLC 1220 N Main St Suite 100 Fort Worth TX 76164-9168 Ph: (817) 378-0777 |
| NPI Number | 1972841088 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 01/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972841088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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