FORT WORTH MED-PEDS ASSOCIATES P.A.
Ambulatory Health at Bellaire Dr, Fort Worth, TX

License number
Texas L2552
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. STUART CHARLES PICKELL MD
Title: OWNER
Phone: (817) 732-6060
Address
Address
4545 Bellaire Dr S SUITE 9, Fort Worth, TX 76109
National Provider ID: 1689718975
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Fort Worth Med-Peds Associates, PA

4545 Bellaire Dr S, Fort Worth, TX 76109

Doing business as:
Fort Worth Med-Peds Associates, PA
Registration:
Jan 10, 2002
Phone:
(817) 732-6060 (Phone)
State ID:
0800044972
Business type:
Professional Association
President, Director, Member, Secretary:
Stuart C. Pickell (President, Director, Member, Secretary)
TIN:
32035933327

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