MEDICARE: DR. SALLY KURZ M.D.

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
1	207Q00000X	Family Medicine Physician	R8929	TX
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	R8929	TX

General Provider Information

NPI Number	:	1316329170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALLY KURZ M.D.

Provider Business Mailing Address
First Line	:	3300 JOYCE DR STE 110E
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-6419
Country	:	US
Telephone Number	:	817-841-9659
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 JOYCE DR STE 110E
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-6419
Country	:	US
Telephone Number	:	817-841-9659
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2015
Last Update Date	:	02/06/2026

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Directions to “ DR. SALLY KURZ M.D.” Practice Location

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