# TARRANT COUNTY AIDS INTERFAITH NETWORK

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

## Provider details

- **NPI number:** 1518996289
- **Authorized official:** MS. DAPHNE MYLES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (817) 923-2800

## Contact information

- **Practice address:** 200 W MAGNOLIA AVE, SUITE 102, FORT WORTH, TX 76104-7644
- **Practice address phone:** (817) 665-1323
- **Practice address fax:** (817) 871-9074
- **Mailing address:** 801 W MAGNOLIA AVE, FORT WORTH, TX 76104-4612
- **Mailing address phone:** (817) 923-2800
- **Mailing address fax:** (817) 923-2807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 08/22/2020