NPI 1003216649

Texas Varicose Vein Clinic of Fort Worth, LLC

Organisation Pain Clinic/Center Fort Worth, TX

Practice location

Address: 1106 Alston Ave STE 200, Fort Worth, TX 76104-4644
Phone: (817) 698-8346
Fax: (817) 698-9933

Authorised official

Name: Corey T Holtman
Title: Ceo
Phone: (817) 698-8346

Registered specialties

Pain Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP3300X Licence 801678647 (TX)

Other Clinic/Center providers in Texas →

Registry record

NPI: 1003216649
Entity type: Organization
NPI issued: 2 Sep 2014
Record last updated: 2 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.