# MEDICAL CLINIC OF NORTH TEXAS PLLC

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

## Provider details

- **NPI number:** 1619256591
- **Authorized official:** KAREN KENNEDY (ADMINISTRATOR)
- **Authorized official phone:** (817) 514-5200

## Contact information

- **Practice address:** 800 5TH AVE, SUITE 300, FORT WORTH, TX 76104-7300
- **Practice address phone:** (817) 334-1400
- **Practice address fax:** (817) 334-1410
- **Mailing address:** 9003 AIRPORT FWY, STE 300, NORTH RICHLAND HILLS, TX 76180-7770
- **Mailing address phone:** (817) 514-5200
- **Mailing address fax:** (817) 514-5210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 11/05/2012