3CVO MEDICAL GROUP, PLLC

NPI 1225321946 Active Family Medicine

Quick Facts

NPI Number

1225321946

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2011-05-27

Last Updated (NPPES)

2012-06-01

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`

Practice Address

730 EUREKA ST
WEATHERFORD, TX 760866546

Phone: 817-731-6121

Fax: 817-732-8015

Mailing Address

PO BOX 26804
BENBROOK, TX 761260804

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