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Contact Information

PRO PHYSICIAN CLINIC PA
800 W MAGNOLIA AVE
FORT WORTH, TX76104-4611
 Phone: 817-886-8730
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for PRO PHYSICIAN CLINIC PA · (Female)

NPI Number 1225289739
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2008
Last updated 10/02/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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