Provider First Line Business Practice Location Address:
4501 HERITAGE TRACE PKWY STE 101
Provider Second Line Business Practice Location Address:
DBA NORTH TEXAS ORTHOPEDICS & SPINE CENTER
Provider Business Practice Location Address City Name:
FORT WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76244-8941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-221-0084
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/16/2024