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Contact Information

FORTIS MED INCORPORATED
12417 BELLA VINO DR
FORT WORTH, TX76126-4929
 Phone: 817-239-1071
 Fax: 817-782-9468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FORTIS MED INCORPORATED

NPI # 1790527174
LBN Legal business name FORTIS MED INCORPORATED
Authorized official SAVITA KURUP - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2024
Last updated 06/07/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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