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Organization
TVP MEDICAL, PLLC
Active
Organization
TVP MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEYESUS GULILAT NP (CEO)
(817) 718-0271
Entity
Organization
Contact information
Practice address
209 SAINT LOUIS AVE, FORT WORTH, TX 76104-1278
(817) 961-1842
Mailing address
209 SAINT LOUIS AVE, FORT WORTH, TX 76104-1278
(817) 961-1842
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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