MEDICARE: HEALTH4U CLINICS LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1336457886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH4U CLINICS LP

Provider Business Mailing Address
First Line	:	3825 YUCCA AVE
Second Line	:	STE 129
City	:	FT WORTH
State	:	TX
Zip	:	76111-6067
Country	:	US
Telephone Number	:	817-759-2273
Fax Number	:	817-759-2276

Provider Business Practice Location Address
First Line	:	3825 YUCCA AVE
Second Line	:	STE 129
City	:	FT WORTH
State	:	TX
Zip	:	76111-6067
Country	:	US
Telephone Number	:	817-759-2273
Fax Number	:	817-759-2276

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. APRIL TOLBERT
Credential	:	WHNP
Telephone Number	:	817-759-2273

Provider Enumeration Date	:	09/17/2010
Last Update Date	:	06/09/2011

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