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NPI Verification

National Provider Identifier: 1730697483

Carelon Medical Partners of Arizona, P.c.

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (3)

Social Worker

Code: 104100000X

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

512 W ROSEDALE ST

FORT WORTH, TX 761044619

Phone: 817-289-8300

NPI Enumeration Date

January 16, 2018

NPI Number

1730697483

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry