MEDICARE: NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC

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	3336C0003X	Community/Retail Pharmacy

Other Identifiers

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

General Provider Information

NPI Number	:	1417438243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC

Provider Business Mailing Address
First Line	:	320 S POLK ST STE 200
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79101-1436
Country	:	US
Telephone Number	:	806-242-7782
Fax Number	:	817-769-1041

Provider Business Practice Location Address
First Line	:	2332 BEVERLY HILLS DRIVE STE 1116
Second Line	:
City	:	FT. WORTH
State	:	TX
Zip	:	76114
Country	:	US
Telephone Number	:	817-546-6488
Fax Number	:	817-769-1041

Authorized Official
Title or Position	:	PRESIDENT PHARMACY SERVICES
Name	:	JOEL WRIGHT
Credential	:
Telephone Number	:	806-242-7782

Provider Enumeration Date	:	08/29/2018
Last Update Date	:	12/27/2023

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