TRINITY DIAGNOSTIC CLINIC, P.A
Hospitals at Southern Hills Dr, Fort Worth, TX

License number
Texas G7866
Category
Hospitals
Type
Medicare Defined Swing Bed Unit
Owner
Name: KOSURI B RAJU M.D.
Title: PRESIDENT
Phone: (817) 905-2254
Address
Address
6324 Southern Hills Dr, Fort Worth, TX 76132
National Provider ID: 1508214222
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TRINITY DIAGNOSTIC CLINIC, P.A at bizstanding.com

TRINITY DIAGNOSTIC CLINIC, PA

909 9 Ave STE 405, Fort Worth, TX 76104

Doing business as:
Trinity Diagnostic Clinic, PA
Registration:
Jun 20, 2007
State ID:
0800831847
Business type:
Professional Association
Director, Member, President, Secretary:
Kosuri B. Raju (Director, Member, President, Secretary)
Agent:
Kosuri B Raju,909 9 Ave STE 405, Fort Worth, TX 76104 (Physical)
TIN:
32035005894

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