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NPI Code Detail

MEDICARE: NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.

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
1207Q00000XFamily Medicine PhysicianTX
2261QF0400XFederally Qualified Health Center (FQHC)TX

General Provider Information

NPI Number : 1568420800
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.
Provider Business Mailing Address
First Line : 2332 BEVERLY HILLS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76114
Country : US
Telephone Number : 817-625-4254
Fax Number : 817-740-8612
Provider Business Practice Location Address
First Line : 2332 BEVERLY HILLS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76114-1756
Country : US
Telephone Number : 817-625-4254
Fax Number : 817-740-8612
Authorized Official
Title or Position : CEO
Name : GERRIE WHITAKER
Credential :
Telephone Number : 817-625-4254
Provider Enumeration Date : 05/03/2006
Last Update Date : 10/28/2024

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Directions to “NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC. ” Practice Location

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