Provider First Line Business Practice Location Address:
HARRIS METHODIST FORT WORTH; NEONATOLOGY DEPARTMENT
Provider Second Line Business Practice Location Address:
1301 PENNYSLVANIA AVE
Provider Business Practice Location Address City Name:
FORTH WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-502-9918
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2017