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NPI Code Detail

MEDICARE: FIRST CHOICE MEDICAL SOLUTIONS PLLC

MEDICARE: FIRST CHOICE MEDICAL SOLUTIONS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor
2208VP0000XPain Medicine Physician
3208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1255683439
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST CHOICE MEDICAL SOLUTIONS PLLC
Provider Business Mailing Address
First Line : PO BOX 151186
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-5186
Country : US
Telephone Number : 817-877-5353
Fax Number : 817-877-5357
Provider Business Practice Location Address
First Line : 903 SUMMIT AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-3421
Country : US
Telephone Number : 817-877-5353
Fax Number : 817-877-5357
Authorized Official
Title or Position : MANAGER
Name : MRS. HEATHER GLEASON
Credential :
Telephone Number : 817-437-8006
Provider Enumeration Date : 10/11/2012
Last Update Date : 10/11/2012

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Directions to “FIRST CHOICE MEDICAL SOLUTIONS PLLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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