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NPI Code Detail

MEDICARE: LINDA CAMILLE CONTRERAS

MEDICARE: LINDA CAMILLE CONTRERAS
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
1363LA2100XAcute Care Nurse Practitioner32573TX
2363L00000XNurse PractitionerAP144127TX
3363LG0600XGerontology Nurse Practitioner32573TX

General Provider Information

NPI Number : 1528690476
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA CAMILLE CONTRERAS
Provider Business Mailing Address
First Line : 1500 S MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4917
Country : US
Telephone Number : 817-702-3431
Fax Number : 817-702-7193
Provider Business Practice Location Address
First Line : 1500 S MAIN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4917
Country : US
Telephone Number : 817-702-3431
Fax Number : 817-702-7193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2020
Last Update Date : 05/08/2026

Similar Medicare Providers

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1500 S MAIN ST
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1881552875 — JAIDAN PHILLIPS RN
Practice Location Address:
1500 S MAIN ST
FORT WORTH, TX
76104-4917
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1871597823 — SHAWN MARIE STRAIN MD
Practice Location Address:
1500 S MAIN ST
FORT WORTH, TX
76104-4917
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Practice Fax:
1811994023 — JESSIE D HICKS D.O.
Practice Location Address:
1500 S MAIN ST
FORT WORTH, TX
76104-4917
Practice Phone: 817-702-1100
Practice Fax:

Directions to “ LINDA CAMILLE CONTRERAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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