SDM MEDICAL, INC
Ambulatory Health at Southwest Blvd, Fort Worth, TX

License number
Texas 007141
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: PAM MONAGHAN RN
Title: ADMINISTRATOR
Phone: (817) 738-3390
Address
Address
6311 Southwest Blvd SOUTHWEST, Fort Worth, TX 76132
National Provider ID: 1902850571
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SDM MEDICAL, INC

6311 SW Blvd, Fort Worth, TX 76132

Industry:
Health/Allied Services
Doing business as:
Sdm Medical, Inc
Registration:
Feb 5, 1999
State ID:
0152303700
Business type:
Domestic For-Profit Corporation
Vice Presidents:
Dana C Daniels (GOVERNING, Governing Person), 6311 SW Blvd, Fort Worth, TX 76132,Shannon Pana President, Director, inactive,A. J. Speece Treasurer, inactive,...
Agent:
Dana C. Daniels,6311 SW Blvd, Fort Worth, TX 76132 (Physical)
TIN:
17528165958

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