FORT WORTH MEDICAL SPECIALISTS PLLC
Osteopathic Medicine at Pennsylvania Ave, Fort Worth, TX

License number
Texas P1387
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. ELAINE I PHUAH DO
Title: OWNER
Phone: (817) 336-1200
Address
Address
724 Pennsylvania Ave, Fort Worth, TX 76104
National Provider ID: 1417362427
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FORT WORTH MEDICAL SPECIALISTS, PLLC

724 Pennsylvania Ave, Fort Worth, TX 76104

Registration:
May 9, 2014
State ID:
0801988024
Business type:
Domestic Limited Liability Company (LLC)
Managers:
Elaine Ielin Phuah (Manager),Gregory Phillips (Manager)
TIN:
32054018018

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