Healthcare Provider Details

I. General information

NPI: 1568472850
Provider Name (Legal Business Name): WESTERN CLINICAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 HEMPHILL ST SUITE A
FT WORTH TX
76104-3105
US

IV. Provider business mailing address

700 HEMPHILL ST SUITE A
FT WORTH TX
76104-3105
US

V. Phone/Fax

Practice location:
  • Phone: 817-334-0111
  • Fax: 817-334-0249
Mailing address:
  • Phone: 817-334-0111
  • Fax: 817-334-0249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number0000082
License Number StateTX

VIII. Authorized Official

Name: DR. LUIS ARCE
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 817-334-0111