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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	15704	TX

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
2	2105576	OTHER		PK

General Provider Information

NPI Number	:	1487739777
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	:	817-702-7165
Fax Number	:	817-533-7434

Provider Business Practice Location Address
First Line	:	3301 STALCUP RD
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76119-1726
Country	:	US
Telephone Number	:	817-702-7165
Fax Number	:	817-533-7434

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	11/14/2025

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Directions to “TARRANT COUNTY HOSPITAL DISTRICT ” Practice Location

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