Fort Worth Healthcare Systems Llc | |
1002 Montgomery St Fort Worth TX 76107-2693 | |
(817) 377-4011 | |
(817) 377-9269 |
Full Name | Fort Worth Healthcare Systems Llc |
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Speciality | Chiropractor |
Location | 1002 Montgomery St, Fort Worth, Texas |
Authorized Official Name and Position | Linda L Riley (ADMINSTRATOR) |
Authorized Official Contact | 2149439431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fort Worth Healthcare Systems Llc Po Box 3770 Dallas TX 75208-1070 Ph: (817) 377-4011 | Fort Worth Healthcare Systems Llc 1002 Montgomery St Fort Worth TX 76107-2693 Ph: (817) 377-4011 |
NPI Number | 1376595348 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 12/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376595348 | NPI | - | NPPES |
0041MA | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
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