Dr. John Licciardone
Neuromusculoskeletal Medicine (NMM)
Unthsc Patient Care Center 999 Montgomery
Fort Worth
, Texas 76107
Dr. John Licciardone
Neuromusculoskeletal Medicine (NMM)
Unthsc Patient Care Center 999 Montgomery
Fort Worth
, Texas 76107
(817) 735-0111
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. John Licciardone
- Unthsc Dept. Of Quality Management 3500 Camp Bowie Blvd., Ead 324
- Fort Worth, TX
- Zip : 76107
- Fax : (817) 735-0111
- Phone : (817) 735-0170
Second Address
- Dr. John Licciardone
- Unthsc Patient Care Center 999 Montgomery
- Fort Worth, TX
- Zip : 76107
- Fax : (817) 735-2480
- Phone : (817) 735-2235
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | H3103 | TX |
National Provider Identifier
| NPI | 1407829641 |
|---|---|
| Provider Name | Dr. John Licciardone |
| First Address | Fort Worth, TX 76107 |
| Second Address | Fort Worth, TX 76107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2006 |
| Last Update Date | 04/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E33306 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.