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NPI Code Detail

MEDICARE: ALLISON READINGER MD PA

MEDICARE: ALLISON READINGER MD PA
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
1261QM2500XMedical Specialty Clinic/CenterM4467TX

General Provider Information

NPI Number : 1912213778
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLISON READINGER MD PA
Provider Business Mailing Address
First Line : 800 8TH AVE STE 326
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2602
Country : US
Telephone Number : 817-885-8222
Fax Number :
Provider Business Practice Location Address
First Line : 800 8TH AVE STE 326
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2602
Country : US
Telephone Number : 817-885-8222
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALLISON BECKWORTH READINGER
Credential : M.D.
Telephone Number : 817-885-8222
Provider Enumeration Date : 08/30/2010
Last Update Date : 10/26/2022

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