MEDICARE: T&D FAMILY HEALTH 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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1053200519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T&D FAMILY HEALTH LLC

Provider Business Mailing Address
First Line	:	6716 WINDFALL DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-2110
Country	:	US
Telephone Number	:	972-827-8505
Fax Number	:

Provider Business Practice Location Address
First Line	:	6716 WINDFALL DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-2110
Country	:	US
Telephone Number	:	972-827-8505
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. TENDAI MASENDA
Credential	:
Telephone Number	:	972-827-8505

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	06/30/2025

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Directions to “T&D FAMILY HEALTH LLC ” Practice Location

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