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Organization

TARRANT COUNTY PUBLIC HEALTH DEPT.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA KAYE ELLENBERGER LVN (LVN)
(817) 321-4934
Entity
Organization

Contact information

Practice address
1101 S MAIN ST, #1600, FT WORTH, TX 76104-4802
(817) 321-4934
(817) 321-4920
Mailing address
1101 S MAIN ST, #1600, FT WORTH, TX 76104-4802
(817) 321-4934
(817) 321-4920

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
74925
TX

Other

Enumeration date
01/21/2011
Last updated
01/21/2011
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