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NPI Code Detail

MEDICARE: MED HARMONY LLC

MEDICARE: MED HARMONY LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1720973910
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED HARMONY LLC
Provider Business Mailing Address
First Line : 3256 LACKLAND RD STE E
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-5307
Country : US
Telephone Number : 817-470-8623
Fax Number :
Provider Business Practice Location Address
First Line : 3256 LACKLAND RD STE E
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-5307
Country : US
Telephone Number : 817-470-8623
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHRIS WILSON
Credential :
Telephone Number : 817-470-8623
Provider Enumeration Date : 06/10/2025
Last Update Date : 06/10/2025

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Directions to “MED HARMONY LLC ” Practice Location

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