Healthcare Provider Details

I. General information

NPI: 1497274575
Provider Name (Legal Business Name): TARRANT COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S MAIN STREET OPC-1
FORT WORTH TX
76104-4917
US

IV. Provider business mailing address

4701 BRYANT IRVIN RD N STE LL215
FORT WORTH TX
76107-7627
US

V. Phone/Fax

Practice location:
  • Phone: 817-702-3553
  • Fax: 817-533-7433
Mailing address:
  • Phone: 806-242-7782
  • Fax: 817-533-7433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOEL WRIGHT
Title or Position: PRESIDENT PHARMACY SERVICES
Credential:
Phone: 806-242-7782