Organization
ANCHOR HCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARALOTTA M. BLACKWELL (MAINSTAY/OWNER)
(682) 215-8165
Entity
Organization
Contact information
Practice address
13232 FENCEROW RD, FORT WORTH, TX 76244
(682) 215-8165
Mailing address
PO BOX 80196, KELLER, TX 76244
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
10/05/2014
Last updated
02/05/2020
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