| Guinn Healthcare Technologies, Llc | |
|
2300 Circle Dr Ste 2307 Fort Worth TX 76119-8134 | |
| (817) 349-8787 | |
| (817) 231-0650 |
| Full Name | Guinn Healthcare Technologies, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2300 Circle Dr, Fort Worth, Texas |
| Authorized Official Name and Position | James Anthony Guinn (AUTHORIZED OFFICIAL - PRESIDENT GHT) |
| Authorized Official Contact | 8173498787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guinn Healthcare Technologies, Llc 2300 Circle Dr Ste 2307 Fort Worth TX 76119-8134 Ph: (817) 349-8787 | Guinn Healthcare Technologies, Llc 2300 Circle Dr Ste 2307 Fort Worth TX 76119-8134 Ph: (817) 349-8787 |
| NPI Number | 1396957585 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 8820414923 |
|---|---|
| Medicare Enrollment ID | O20200820000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396957585 | NPI | - | NPPES |
| 209881602 | Medicaid | TX |
| Provider Name | Tambra Guinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558884809 PECOS PAC ID: 2961662184 Enrollment ID: I20170828004414 |
| Provider Name | James Anthony Guinn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629299888 PECOS PAC ID: 1557787652 Enrollment ID: I20231130003180 |
| Provider Name | Tony Allen Maclin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548477581 PECOS PAC ID: 9638528458 Enrollment ID: I20231205003238 |
| Provider Name | Brandi Aleece Ownby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225367303 PECOS PAC ID: 4183073927 Enrollment ID: I20231206000115 |
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