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Ian Underwood

NPI 1770115099 · on the registry since 2020

Practice

Address
5204 Emmeryville Ln
Fort Worth, TX 76244
Phone
(682) 351-4040

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Sex
Male
Record last updated
2020-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas