| Terra Therapies, Pllc | |
|
1706 Enderly Pl Fort Worth TX 76104-4122 | |
| (817) 907-0022 | |
| (817) 945-1456 |
| Full Name | Terra Therapies, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1706 Enderly Pl, Fort Worth, Texas |
| Authorized Official Name and Position | Courtney J Guhl (BUSINESS OWNER) |
| Authorized Official Contact | 8179070022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terra Therapies, Pllc 4113 Marks Pl Fort Worth TX 76116-7900 Ph: (817) 907-0022 | Terra Therapies, Pllc 1706 Enderly Pl Fort Worth TX 76104-4122 Ph: (817) 907-0022 |
| NPI Number | 1457844953 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 06/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457844953 | NPI | - | NPPES |
| 1649515198 | Other | TX | INSURANCE PANELS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 66955 (Texas) | Primary |
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