| Good Doctor Clinic and Urgent Care PLLC | |
|
4759 South Fwy Ste A Ft Worth TX 76115-3655 | |
| (817) 923-7374 | |
| Not Available |
| Full Name | Good Doctor Clinic and Urgent Care PLLC |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 4759 South Fwy Ste A, Ft Worth, Texas |
| Authorized Official Name and Position | Sudath Rannulu (MD) |
| Authorized Official Contact | 9722969930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Doctor Clinic and Urgent Care PLLC 777 E Wheatland Rd Ste 108 Duncanville TX 75116-4918 Ph: (972) 296-9930 | Good Doctor Clinic and Urgent Care PLLC 4759 South Fwy Ste A Ft Worth TX 76115-3655 Ph: (817) 923-7374 |
| NPI Number | 1992210579 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992210579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208000000X | Pediatrics | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
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