Unknown Individual – Family Medicine Physician, NPI 1649277914
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1615, Precinct Line Road, Hurst, Tarrant County, Texas, 76054, United States
STE 103
HURST, TX 760543345
Phone: (817) 281-4910
Fax: (817) 281-3107
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76054)
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