| Texas Healthcare Bone & Joint | |
|
1651 W Rosedale St Suite 200 Fort Worth TX 76104-7437 | |
| (817) 335-4316 | |
| (817) 336-2504 |
| Full Name | Texas Healthcare Bone & Joint |
|---|---|
| Speciality | Non-pharmacy Dispensing Site |
| Location | 1651 W Rosedale St, Fort Worth, Texas |
| Authorized Official Name and Position | Steven Meyers (OWNER) |
| Authorized Official Contact | 8173354316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Healthcare Bone & Joint Po Box 812140 Boca Raton FL 33481-2140 Ph: (561) 463-8102 | Texas Healthcare Bone & Joint 1651 W Rosedale St Suite 200 Fort Worth TX 76104-7437 Ph: (817) 335-4316 |
| NPI Number | 1588029813 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 12/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588029813 | NPI | - | NPPES |
| 058476502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K7186 (Texas) | Secondary |
| 332900000X | Non-pharmacy Dispensing Site | K7186 (Texas) | Primary |
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