Organization
CITY OF FORT WORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CAIN (LEAD-SAFE PROGRAM MANAGER)
(817) 392-2642
Entity
Organization
Contact information
Practice address
1000 THROCKMORTON ST, FORT WORTH, TX 76102-6312
(817) 392-7322
Mailing address
1000 THROCKMORTON ST, FORT WORTH, TX 76102-6312
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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