Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boat Club Medical

Organization Specialist · NPI 1720473846

Boat Club Medical is a Specialist in Ft Worth, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
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Practice location Address checks out

3963 Boat Club Rd
Ft Worth, TX 76135-3202
Phone: (817) 917-2630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence F9351 (TX)

Record details

NPI number1720473846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Davis — Provider/Owner · (817) 917-2630
NPI enumeratedApril 6, 2015
Last updated in NPPESApril 6, 2015
Mailing address3963 Boat Club Rd, Ft Worth, TX 76135-3202

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