Unknown Individual – Family Medicine Physician, NPI 1932100633
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 126409
BENBROOK, TX 761260409
Phone: (817) 737-3331
Fax: (817) 737-2333
Type: Mailing
Vista Way, Benbrook, Tarrant County, Texas, 76126, United States
BENBROOK, TX 761262451
Phone: (817) 737-3331
Fax: (817) 737-2333
Type: Location
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76126)
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