Justin H Ezell in Fort Worth - Family Medicine
Justin H Ezell - NPI 1740332212
Justin H Ezell is a Family Medicine in Fort Worth, Texas. Justin H Ezell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Justin H Ezell is 1740332212. The last update date is 2022-02-21.
Justin H Ezell's current location address is 4201 Camp Bowie Blvd, Fort Worth, Texas. You can contact this provider via phone number 8177310801 and fax number 8177318468. The mailing address for Justin H Ezell is 4201 Camp Bowie Blvd, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin H Ezell |
|---|---|
| Address | 4201 Camp Bowie Blvd, Fort Worth, Texas |
| Phone Number | 8177310801 |
| Fax Number | 8177318468 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1740332212 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2022-02-21 |
Provider Mailing Address Detail
| Address | 4201 Camp Bowie Blvd |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761073928 |
| Phone Number | 8177310801 |
| Fax Number | 8177318468 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | R7207 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 291361803 | TX | -- | |
| 291361801 | TX | -- | |
| 291361802 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Justin H Ezell by the Centers for Medicare & Medicaid Services?
The Justin H Ezell has been assigned the NPI (National Provider Identifier) 1740332212 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Justin H Ezell?
The Justin H Ezell is situated at 4201 Camp Bowie Blvd, in the city of Fort Worth, state of TX, with the zip code 761073928.
What is Justin H Ezell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Justin H Ezell's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740332212 to Justin H Ezell?
The Centers for Medicare & Medicaid Services originally issued the 1740332212 to Justin H Ezell on 2007-01-17.
When was the information pertaining to Justin H Ezell most recently updated or revised?
The details related to Justin H Ezell, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-21.