| Dlc Care Clinic Iv, Llc | |
|
5208 Airport Fwy Ste 214 Haltom City TX 76117-5922 | |
| (682) 499-5506 | |
| Not Available |
| Full Name | Dlc Care Clinic Iv, Llc |
|---|---|
| Speciality | Case Management |
| Location | 5208 Airport Fwy Ste 214, Haltom City, Texas |
| Authorized Official Name and Position | David Charles (OWNER) |
| Authorized Official Contact | 6824995506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dlc Care Clinic Iv, Llc 5208 Airport Fwy Ste 214 Haltom City TX 76117-5922 Ph: (682) 499-5506 | Dlc Care Clinic Iv, Llc 5208 Airport Fwy Ste 214 Haltom City TX 76117-5922 Ph: (682) 499-5506 |
| NPI Number | 1992685119 |
|---|---|
| Provider Enumeration Date | 09/08/2025 |
| Last Update Date | 09/08/2025 |
| Certification Date | 09/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992685119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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