Lumin Er Camp Bowie Llc

Specialty details in registry · Fort Worth, TX

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At a glance

4520 Camp Bowie Blvd, Fort Worth, TX 76107-3837

NPPES record updated Mar 22, 2016. Public records can lag behind changes at a practice.

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Practice location

4520 Camp Bowie Blvd
Fort Worth, TX 76107-3837

Professional details: NPI, taxonomy & registry record

NPI1730541475

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QE0002X
Enumeration date: Mar 22, 2016
Record updated: Mar 22, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QE0002X · Primary

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

Practice location

4520 Camp Bowie Blvd
Fort Worth, TX 76107-3837

Phone: (913) 972-4976

Mailing address

4520 CAMP BOWIE BLVD

FORT WORTH, TX 761073837

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

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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