TEXAS REPRODUCTIVE CENTER LLC
Ambulatory Health in Fort Worth, TX

License number
Texas 45D1107754
Category
Ambulatory Health
Type
Ambulatory Fertility Facility
Owner
Name: M LEESA SALAMONE
Title: BUSINESS MANAGER
Phone: (817) 546-7442
Address
Address
1800 Mistletoe Boulelvard SUITE 200, Fort Worth, TX 76104
National Provider ID: 1376787572
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TEXAS REPRODUCTIVE CENTER, LLC

Fort Worth, TX

Industry:
Nonclassifiable Establishments
Registration:
Mar 13, 2009
Addresses:
1800 Mistletoe Blvd, Fort Worth, TX 76104 (Mailing)
800 5 Ave, Fort Worth, TX 76104
State ID:
0801098349
Business type:
Domestic Limited Liability Company (LLC)
Member:
Robert Kaufmann (Member), 1800 Mistletoe Blvd, Fort Worth, TX 76104
TIN:
32039099281

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