Aids Healthcare Foundation Texas Inc

NPI 1104190115 - Clinic/Center - 261Q00000X

NPI Details
NPI 1104190115
Enumeration Date 03/08/2012
Last Updated 04/14/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DONNA DONNA
Position CHIEF, MANAGED CARE
Phone (817) 831-1750
Fax (817) 831-1753
Practice Location
400 N BEACH ST
SUITE 104
FORT WORTH TX, 76111-7010, US
Phone (817) 831-1750
Fax (817) 831-1753
Business Location
8390 CHAMPIONS GATE BLVD
SUITE 306
CHAMPIONS GATE FL, 33896-8310, US
Phone (407) 390-1677
Fax (407) 390-1765
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Aids Healthcare Foundation Texas Inc NPI is 1104190115, taxonomy code is 261Q00000X Aids Healthcare Foundation Texas Inc physically located at 400 N Beach St, Fort Worth TX, 76111-7010. NPI Number 1033115704 has the healthcare provider type.

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1104190115 NPI number is provided on an as is basis without warranty of any kind. 1104190115 is maintained by the National Plan & Provider Enumeration System. The contents of Aids Healthcare Foundation Texas Inc are for informational purposes only.