| Mydas PA | |
|
1500 S Main St Ft Worth TX 76104 | |
| (817) 702-3431 | |
| Not Available |
| Full Name | Mydas PA |
|---|---|
| Speciality | General Practice |
| Location | 1500 S Main St, Ft Worth, Texas |
| Authorized Official Name and Position | Nestor Zenarosa (PRESIDENT) |
| Authorized Official Contact | 4694205527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mydas PA Po Box 650823 Dallas TX 75265-0823 Ph: (469) 420-5527 | Mydas PA 1500 S Main St Ft Worth TX 76104 Ph: (817) 702-3431 |
| NPI Number | 1508296583 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 11/01/2021 |
| Certification Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508296583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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