| Mhmr Of Tarrant County | |
|
3840 Hulen St Fort Worth TX 76107-7277 | |
| (817) 569-4395 | |
| (817) 569-4517 |
| Full Name | Mhmr Of Tarrant County |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3840 Hulen St, Fort Worth, Texas |
| Authorized Official Name and Position | Angie Swett (PROVIDER ENROLLMENT SUPERVISOR) |
| Authorized Official Contact | 8175694039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhmr Of Tarrant County Po Box 2603 Fort Worth TX 76113-2603 Ph: (817) 569-4395 | Mhmr Of Tarrant County 3840 Hulen St Fort Worth TX 76107-7277 Ph: (817) 569-4395 |
| NPI Number | 1376590422 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 05/22/2023 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376590422 | NPI | - | NPPES |
| 135082901 | Medicaid | TX | |
| 135082907 | Medicaid | TX | |
| 135082908 | Medicaid | TX | |
| 135082905 | Medicaid | TX | |
| 081599501 | Medicaid | TX | |
| 135082906 | Medicaid | TX | |
| 135082902 | Medicaid | TX |
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