Healthcare Provider Details
I. General information
NPI: 1114906633
Provider Name (Legal Business Name): THE WOMENS CENTER OF TARRANT COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1723 HEMPHILL
FORT WORTH TX
76110
US
IV. Provider business mailing address
1723 HEMPHILL
FORT WORTH TX
76110
US
V. Phone/Fax
- Phone: 817-927-4040
- Fax: 817-924-2562
- Phone: 817-927-4040
- Fax: 817-924-2562
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
LAURA
M
HILGART
Title or Position: PRESIDENT CEO
Credential: MSW
Phone: 817-927-4006