| Tarrant County Public Health | |
|
1101 S Main St Rm 1500 Preventive Medicine Clinic Fort Worth TX 76104-4802 | |
| (817) 321-4813 | |
| (817) 321-4809 |
| Full Name | Tarrant County Public Health |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 1101 S Main St Rm 1500, Fort Worth, Texas |
| Authorized Official Name and Position | Jason Fain Nevoit (MANAGER) |
| Authorized Official Contact | 8173214813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarrant County Public Health 1101 S Main St Rm 1500 Preventive Medicine Clinic Fort Worth TX 76104-4802 Ph: (817) 321-4813 | Tarrant County Public Health 1101 S Main St Rm 1500 Preventive Medicine Clinic Fort Worth TX 76104-4802 Ph: (817) 321-4813 |
| NPI Number | 1740508076 |
|---|---|
| Provider Enumeration Date | 05/11/2010 |
| Last Update Date | 05/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740508076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | 105716 (Texas) | Primary |
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