Clinic 21 of Ft Worth, LLC
Clinic 21 of Ft Worth, LLC is an Emergency Medicine Physician in Fort Worth, Texas. Registered with an NPI since 2015.
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5450 Clearfork Main St Ste 100Fort Worth, TX 76109-3559
Phone: (817) 732-9372
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X |
|---|
Record details
| NPI number | 1700257763 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Packo — President · (330) 493-4443 |
| NPI enumerated | October 15, 2015 |
| Last updated in NPPES | January 13, 2016 |
| Mailing address | 4535 Dressler Rd Nw, Canton, OH 44718-2545 |
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