| Tarrant County Aids Interfaith Network | |
|
200 W Magnolia Ave Suite 102 Fort Worth TX 76104-7644 | |
| (817) 665-1323 | |
| (817) 871-9074 |
| Full Name | Tarrant County Aids Interfaith Network |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 200 W Magnolia Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Daphne Myles (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8179232800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarrant County Aids Interfaith Network 801 W Magnolia Ave Fort Worth TX 76104-4612 Ph: (817) 923-2800 | Tarrant County Aids Interfaith Network 200 W Magnolia Ave Suite 102 Fort Worth TX 76104-7644 Ph: (817) 665-1323 |
| NPI Number | 1518996289 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518996289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | () | Primary |
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