| Fort Worth Personal Medicine, Pllc | |
|
4545 Bellaire Dr S Suite 2 Fort Worth TX 76109-1889 | |
| (682) 202-4585 | |
| Not Available |
| Full Name | Fort Worth Personal Medicine, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4545 Bellaire Dr S, Fort Worth, Texas |
| Authorized Official Name and Position | Stephen Daniel Ake (CEO/PROVIDER) |
| Authorized Official Contact | 6822024585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Personal Medicine, Pllc Po Box 181055 Arlington TX 76096-1055 Ph: (682) 202-4585 | Fort Worth Personal Medicine, Pllc 4545 Bellaire Dr S Suite 2 Fort Worth TX 76109-1889 Ph: (682) 202-4585 |
| NPI Number | 1609220367 |
|---|---|
| Provider Enumeration Date | 04/19/2016 |
| Last Update Date | 04/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609220367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | P9785 (Texas) | Primary |
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