Clinic 21 Of Ft. Worth, Llc

LBN: Clinic 21 Of Ft. Worth, Llc
Clinic 21 Of Ft. Worth, Llc is an health care organization with primary practice located at 5450 Clearfork Main Street Suite 100, Fort Worth TX 76109-3559. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Clinic 21 Of Ft. Worth, Llc can be contacted via phone (817) 732-9372, or through Packo, David C via phone (330) 493-4443.

Contact Information

Primary practice address
5450 Clearfork Main Street Suite 100 Fort Worth TX 76109-3559
Phone: (817) 732-9372
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Packo, David C Doctor of Medicine (MD)
Phone: (330) 493-4443

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1700257763
LBN Legal business name Clinic 21 Of Ft. Worth, Llc
DBA Doing business as
Authorized official Packo, David C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2015
Last updated Jan 13th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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