LEGEND INTERNAL MEDICINE, URGENT CARE & DIAGNOSTIC
Ambulatory Health at Hemphill St, Fort Worth, TX

License number
Texas M5959
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. FIDELIS K UNINI M.D
Title: MEDICAL DIRECTOR
Phone: (817) 301-2053
Address
Address
609 Hemphill St SUITE 101, Fort Worth, TX 76104
National Provider ID: 1619003886
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LEGEND INTERNAL MEDICINE, URGENT CARE & DIAGNOSTIC

609 Hemphill St #101, Fort Worth, TX 76104

Status:
Inactive
Registration:
Jan 18, 2007
State ID:
0800760082
Agent:
Fidelis K. Unini,1307 8 Ave, Fort Worth, TX 76104 (Physical)
TIN:
32035067944

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