HAROLD B. EUDALY, JR., MD, PA
Psychiatric at Ridglea Pl, Fort Worth, TX

License number
Texas C6960
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. HAROLD B EUDALY JR. MD
Title: MD
Phone: (817) 763-0022
Address
Address
6300 Ridglea Pl SUITE 814, Fort Worth, TX 76116
National Provider ID: 1639314180
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HAROLD B. EUDALY, JR., M.D., PA

6300 Ridglea Pl STE 814, Fort Worth, TX 76116

Status:
Inactive
Doing business as:
Harold B. Eudaly, Jr., M.D., PA
Registration:
Mar 20, 2006
State ID:
0800629268
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member:
Harold B. Eudaly President, Treasurer, Secretary, Director, Member, inactive
Agent:
Harold B Eudaly Jr,6300 Ridglea Pl SUITE 814, Fort Worth, TX 76116 (Physical)
TIN:
32035210007

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