Fairless, Justin Walter

Fairless, Justin Walter is an sole proprietor health care provider with primary practice located at 1651 W Rosedale St , Fort Worth TX 76104-7437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Fairless, Justin Walter can be contacted via phone (817) 257-6633.

Contact Information

Primary practice address
1651 W Rosedale St Fort Worth TX 76104-7437
Phone: (817) 257-6633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N3638 Texas
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X N3638 Texas

Profile Details

NPI number 1760615496
LBN Legal business name Fairless, Justin Walter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2009
Last updated Dec 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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