Provider Demographics
NPI:1255683439
Name:FIRST CHOICE MEDICAL SOLUTIONS PLLC
Entity Type:Organization
Organization Name:FIRST CHOICE MEDICAL SOLUTIONS PLLC
Other - Org Name:WORLD OF WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-437-8006
Mailing Address - Street 1:PO BOX 151186
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-5186
Mailing Address - Country:US
Mailing Address - Phone:817-877-5353
Mailing Address - Fax:817-877-5357
Practice Address - Street 1:903 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-3421
Practice Address - Country:US
Practice Address - Phone:817-877-5353
Practice Address - Fax:817-877-5357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty