# TARRANT COUNTY PUBLIC HEALTH DEPT.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124323191
- **Authorized official:** ANITA KAYE ELLENBERGER LVN (LVN)
- **Authorized official phone:** (817) 321-4934

## Contact information

- **Practice address:** 1101 S MAIN ST, \#1600, FT WORTH, TX 76104-4802
- **Practice address phone:** (817) 321-4934
- **Practice address fax:** (817) 321-4920
- **Mailing address:** 1101 S MAIN ST, \#1600, FT WORTH, TX 76104-4802
- **Mailing address phone:** (817) 321-4934
- **Mailing address fax:** (817) 321-4920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 74925 | TX | Yes |

## Other

- **Enumeration date:** 01/21/2011
- **Last updated:** 01/21/2011