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NPI Code Detail

MEDICARE: TARRANT COUNTY HOSPITAL DISTRICT

MEDICARE: TARRANT COUNTY HOSPITAL DISTRICT
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy21519TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12098213OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194801753
Entity Type Code : Organization
Provider Name (Legal Business Name) : TARRANT COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 4701 BRYANT IRVIN RD N STE LL215
Second Line :
City : FT WORTH
State : TX
Zip : 76107-7627
Country : US
Telephone Number : 817-702-1057
Fax Number : 817-533-7433
Provider Business Practice Location Address
First Line : 1500 S MAIN ST STE OPC1
Second Line :
City : FT WORTH
State : TX
Zip : 76104-4917
Country : US
Telephone Number : 817-702-1057
Fax Number : 817-533-7433
Authorized Official
Title or Position : PRESIDENT PHARMACY SERVICES
Name : JOEL WRIGHT
Credential :
Telephone Number : 806-242-7782
Provider Enumeration Date : 10/27/2006
Last Update Date : 11/14/2025

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Directions to “TARRANT COUNTY HOSPITAL DISTRICT ” Practice Location

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