| Tlc | |
|
8425 Hornbeam Dr Fort Worth TX 76123-5047 | |
| (817) 919-2378 | |
| Not Available |
| Full Name | Tlc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8425 Hornbeam Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Lisa Rene Cooley-thomas (CEO/DIRECTOR) |
| Authorized Official Contact | 6826221095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc 8425 Hornbeam Dr Fort Worth TX 76123-5047 Ph: (817) 919-2378 | Tlc 8425 Hornbeam Dr Fort Worth TX 76123-5047 Ph: (817) 919-2378 |
| NPI Number | 1720528524 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720528524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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