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Organization
WCHS OF TEXAS
Active
Organization
WCHS OF TEXAS
Active
Other names
Hemphill Treatment Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL HERSCHMAN (OTP DIVISION PRESIDENT)
(760) 918-8700
Entity
Organization
Contact information
Practice address
700 HEMPHILL STREET, STE A, FORT WORTH, TX 76104-3105
(918) 334-0111
(817) 334-0249
Mailing address
700 HEMPHILL ST STE A, FORT WORTH, TX 76104-3105
(817) 334-0111
(817) 334-0249
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
0000082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000082
STATE LICENSE NUMBER
TX
Enumeration date
01/31/2007
Last updated
08/22/2020
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