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NPI Code Detail

MEDICARE: MADISON LENOW PA-C

MEDICARE: MADISON LENOW PA-C
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
1363A00000XPhysician AssistantPA20297TX

General Provider Information

NPI Number : 1295685162
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON LENOW PA-C
Provider Business Mailing Address
First Line : 200 W MAGNOLIA AVE STE 201
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7657
Country : US
Telephone Number : 817-702-2977
Fax Number : 817-702-2140
Provider Business Practice Location Address
First Line : 1201 S MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4804
Country : US
Telephone Number : 817-702-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2026
Last Update Date : 05/08/2026

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Directions to “ MADISON LENOW PA-C” Practice Location

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