NORTH TEXAS MINIMALLY INVASIVE SURGICAL ASSOCIATES, PA
Radiology at Booth Calloway Rd, Fort Worth, TX

License number
Texas M0657
Category
Radiology
Type
Surgery
Owner
Name: DR. SEVERN G BARLOCO MD
Title: PRESIDENT
Phone: (817) 285-8889
Address
Address
4375 Booth Calloway Rd SUITE 404, Fort Worth, TX 76180
National Provider ID: 1548464225
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH TEXAS MINIMALLY INVASIVE SURGICAL ASSOCIATES

Pueblo, CO  -  Fort Worth, TX

Industry:
Medical Doctor's Office
Doing business as:
North Texas Minimally Invasive Surgical Associates, PA
Registration:
Apr 16, 2007
Addresses:
1200 Desert Candle Ct, Pueblo, CO 81001 (Mailing)
4375 Booth Calloway Rd, Fort Worth, TX 76180
State ID:
800802121
Business type:
Professional Association
President, Director, Member:
Severn Gerome Barloco (President, Director, Member)
Agent:
Gerard Barloco

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