Fort Worth Proctologic Clinic, PA
Fort Worth Proctologic Clinic, PA provides Specialist services in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2009.
- Licensed in
- TX
- In the registry since
- 2009
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1050 W Rosedale StFort Worth, TX 76104-4422 Not confirmed with CMS for 16 years — call before visiting
Phone: (817) 338-4501
Fax: (817) 338-4503
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence E1124 (TX) |
|---|
Record details
| NPI number | 1710217435 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sommai Sehapayak — Owner · (817) 338-4501 |
| NPI enumerated | December 31, 2009 |
| Last updated in NPPES | December 31, 2009 |
| Mailing address | 1050 W Rosedale St, Fort Worth, TX 76104-4422 |
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