# NASA PSYCHIATRIC CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NASA PSYCHIATRIC CARE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508652140
- **Authorized official:** AGNES AONDO (DIRECTOR)
- **Authorized official phone:** (817) 386-7670

## Contact information

- **Practice address:** 6609 MCCART AVE, FORT WORTH, TX 76133-5633
- **Practice address phone:** (817) 386-7670
- **Practice address fax:** (682) 428-7559
- **Mailing address:** 6609 MCCART AVE, FORT WORTH, TX 76133-5633
- **Mailing address phone:** (817) 386-7670
- **Mailing address fax:** (682) 428-7559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2025
- **Last updated:** 06/05/2026