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NPI Code Detail

MEDICARE: MR. FREDERICK EUGENE NORTON

MEDICARE:  MR. FREDERICK EUGENE NORTON
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
1183500000XPharmacist37128TX

General Provider Information

NPI Number : 1831483106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FREDERICK EUGENE NORTON
Provider Business Mailing Address
First Line : 5700 OVERTON RIDGE BLVD
Second Line : T-1770
City : FORT WORTH
State : TX
Zip : 76132-3220
Country : US
Telephone Number : 817-423-1661
Fax Number : 817-423-1661
Provider Business Practice Location Address
First Line : 5700 OVERTON RIDGE BLVD
Second Line : T-1770
City : FORT WORTH
State : TX
Zip : 76132-3220
Country : US
Telephone Number : 817-423-1661
Fax Number : 817-423-1661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2011
Last Update Date : 06/04/2011

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Directions to “ MR. FREDERICK EUGENE NORTON ” Practice Location

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