Individual
TIMOTHY MCCADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 W TERRELL AVE, FORT WORTH, TX 76104-3243
(817) 702-3100
Mailing address
200 W MAGNOLIA AVE STE 200, FORT WORTH, TX 76104-7657
(817) 702-2450
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1129638
TX
Other
Enumeration date
07/24/2023
Last updated
08/02/2023
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