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Specialty details in registry · Fort Worth, TX

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At a glance

12050 New Day Dr, Fort Worth, TX 76179-9167

NPPES record updated Jan 18, 2024. Public records can lag behind changes at a practice.

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Practice location

12050 New Day Dr
Fort Worth, TX 76179-9167

Professional details: NPI, taxonomy & registry record

NPI1306607270

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 246ZC0007X
Enumeration date: Jan 18, 2024
Record updated: Jan 18, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

246ZC0007X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12050 New Day Dr
Fort Worth, TX 76179-9167

Phone: (817) 313-7649

Mailing address

12050 NEW DAY DR

FORT WORTH, TX 761799167

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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