Fort Worth Northside Community Health Center

NPI 1730182585 - Voluntary or Charitable - 251V00000X

NPI Details
NPI 1730182585
Enumeration Date 05/24/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name EDDY L. EDDY
Position CHIEF EXECUTIVE OFFICER
Phone (817) 625-4254
Fax
Practice Location
2106 N. MAIN
FORT WORTH TX, 76106-8570, US
Phone (817) 625-4254
Fax
Business Location
2100 N MAIN ST
STE 215
FORT WORTH TX, 76106-8576, US
Phone (817) 378-0855
Fax (817) 378-0861
Toxanomy
Taxonomy Code 251V00000X
License State
License Number
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According to our database, Fort Worth Northside Community Health Center NPI is 1730182585, taxonomy code is 251V00000X Fort Worth Northside Community Health Center physically located at 2106 N. Main, Fort Worth TX, 76106-8570. NPI Number 1033115704 has the healthcare provider type.

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1730182585 NPI number is provided on an as is basis without warranty of any kind. 1730182585 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Worth Northside Community Health Center are for informational purposes only.