# FOREST PARK MECIAL CENTER AT FORT WORTH, LLC

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

## Provider details

- **NPI number:** 1831515550
- **Authorized official:** JAMES DAVIS (CEO)
- **Authorized official phone:** (817) 731-8585

## Contact information

- **Practice address:** 5400 CLEARFORK MAIN ST, FORT WORTH, TX 76107
- **Practice address phone:** (817) 731-8585
- **Mailing address:** 5400 CLEARFORK MAIN ST, FORT WORTH, TX 76017
- **Mailing address phone:** (817) 731-8585
- **Mailing address fax:** (817) 731-8586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2014
- **Last updated:** 03/06/2014