| Accredifi, LLC | |
|
12460 Woods Edge Trl Fort Worth TX 76244-9408 | |
| (817) 637-0368 | |
| Not Available |
| Full Name | Accredifi, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 12460 Woods Edge Trl, Fort Worth, Texas |
| Authorized Official Name and Position | Danieta Kay Grissman (OWNER) |
| Authorized Official Contact | 8176370363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Accredifi, LLC 12460 Woods Edge Trl Fort Worth TX 76244-9408 Ph: (817) 637-0368 | Accredifi, LLC 12460 Woods Edge Trl Fort Worth TX 76244-9408 Ph: (817) 637-0368 |
| NPI Number | 1962215848 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962215848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 305S00000X | Point Of Service | (NU) | Secondary |
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