Organization
MHMR-TC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BURKETT MD (MEDICAL DIRECTOR)
(817) 549-4430
Entity
Organization
Contact information
Practice address
1200 CIRCLE DRIVE STE 400B, FT WORTH, TX 76119
(817) 569-4750
(817) 569-4796
Mailing address
1200 CIRCLE DRIVE STE 400B, MHMRTC, FT WORTH, TX 76119
(817) 569-4750
(817) 569-4796
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
462622
TX
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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