PEDIATRIC URGENT CARE CENTER OF FORT WORTH, P.A..
Osteopathic Medicine at Texas Sage Trl, Fort Worth, TX

License number
Texas H9459
Category
Osteopathic Medicine
Type
Pediatric Emergency Medicine
Owner
Name: DR. MICHAEL RAY COWAN D.O.
Title: OWNER
Phone: (817) 271-4309
Address
Address
3400 Texas Sage Trl SUITE 148, Fort Worth, TX 76177
National Provider ID: 1851668149
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRIC URGENT CARE CENTER OF FORT WORTH, PA

3400 Texas Sage Trl STE 148, Fort Worth, TX 76177

Registration:
Jun 22, 2011
State ID:
0801442933
Business type:
Professional Association
Executive Committees:
Michael R. Cowan (Secretary, Director, Member, President),Michael Cowan D O Executive Committee, inactive
Agent:
Emily K Strittmatter,3400 Texas Sage Trl, Fort Worth, TX 76177 (Physical)
TIN:
32044513912

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