| Mhmr-tc | |
|
1200 Circle Drive Ste 400b Ft Worth TX 76119 | |
| (817) 569-4750 | |
| (817) 569-4796 |
| Full Name | Mhmr-tc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1200 Circle Drive Ste 400b, Ft Worth, Texas |
| Authorized Official Name and Position | Joseph Burkett (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8175494430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhmr-tc 1200 Circle Drive Ste 400b Mhmrtc Ft Worth TX 76119 Ph: (817) 569-4750 | Mhmr-tc 1200 Circle Drive Ste 400b Ft Worth TX 76119 Ph: (817) 569-4750 |
| NPI Number | 1063748853 |
|---|---|
| Provider Enumeration Date | 10/29/2009 |
| Last Update Date | 10/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063748853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 462622 (Texas) | Primary |
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