NPI 1205976040
Fort Worth Occmed, LLC
Practice location
- Address
- 4775 South Fwy, Fort Worth, TX 76115-3624
- Phone
- (817) 921-2500
- Fax
- (817) 921-0625
- Mailing address
- 5146 Trail Lake Dr, Fort Worth, TX 76133-2030
Authorised official
- Name
- Bo Brannon
- Title
- Partner
- Phone
- (817) 921-6284
Registered specialties
Occupational Medicine Physician
Primary
Registry record
- NPI
- 1205976040
- Entity type
- Organization
- NPI issued
- 8 Feb 2007
- Record last updated
- 22 Aug 2020
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.