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COUNTY OF TARRANT

Organization (NPI-2) Active

Public Health or Welfare

Provider Information

NPI Number
1194783183
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1101 S MAIN STREET, FORT WORTH, TX, 76104
Phone
(817) 321-4700
Fax
(817) 850-5845

Specialties & Taxonomies

Community Health Worker
Health Educator
Preventive Medicine, Public Health & General Preventive Medicine
Clinical Medical Laboratory License: TX #45D0659873
Public Health or Welfare Primary

All Addresses

LOCATION

1101 S MAIN STREET

FORT WORTH, TX, 76104

(817) 321-4700

MAILING

1101 S MAIN ST # 2106

FORT WORTH, TX, 761044802

(817) 321-4700