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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SP 1 MEDICAL HOLDING LLC

Active Organization

SP 1 MEDICAL HOLDING LLC is a 204R00000X organization located in FORT WORTH, Texas. NPI 1538711338 is currently active in the NPPES registry. Verify at CMS.

204R00000X · FORT WORTH, TX

Registration Details

NPI Number
1538711338
Provider Type
Organization
NPI Issued
Jul 11, 2019 (7.1119740968395 yrs)
Last Updated
Jul 11, 2019

Practice Information

Address
111 BOLAND ST STE 211
FORT WORTH, TX, 761071265
Browse TX providers · Browse ZIP 76107
Phone
8175298488
Fax
9033286568
Primary Specialty
204R00000X
204R00000X

Other 204R00000X Organizations in FORT WORTH, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.