LESLIE C. HARDICK DO, PA
Medical Practice at 8 Ave, Fort Worth, TX

License number
Texas L8362
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: DR. LESLIE CHRISTINE HARDICK D.O.
Title: PRESIDENT
Phone: (817) 924-2216
Address
Address
8Th Ave SUITE 507, Fort Worth, TX 76104
National Provider ID: 1114185212
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LESLIE C. HARDICK, DO, PA

Fort Worth, TX

Industry:
Medical Doctor's Office
Registration:
Oct 8, 2007
Addresses:
1325 Pennsylvania Ave STE 350, Fort Worth, TX 76104 (Mailing)
1307 8 Ave, Fort Worth, TX 76104
State ID:
0800881674
Business type:
Professional Association
President , Treasurer , Director , Member , Secretarys:
Leslie Hardick (Secretary, Treasurer, President, Director, Member),James O. Wyss President , Treasurer , Director , Member , Secretary, inactive
Agent:
Leslie Christine Hardick,1325 Pennsylvania Ave SUITE 350, Fort Worth, TX 76104 (Physical)
TIN:
32034964570

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