| Tcc Pc | |
|
400 Hemphill St Fort Worth TX 76104-2216 | |
| (817) 953-3064 | |
| (817) 953-3093 |
| Full Name | Tcc Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 Hemphill St, Fort Worth, Texas |
| Authorized Official Name and Position | Cornelius Hudson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8179533064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcc Pc Po Box 341 Fort Worth TX 76101-0341 Ph: (817) 953-3064 | Tcc Pc 400 Hemphill St Fort Worth TX 76104-2216 Ph: (817) 953-3064 |
| NPI Number | 1750728275 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 05/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750728275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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