Individual
VALORIE TADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 W TERRELL AVE, FORT WORTH, TX 76104-3243
(817) 702-3100
Mailing address
PO BOX 732973, DALLAS, TX 75373-4403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
602214
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP113767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193551201
—
TX
05
—
193551202
—
TX
05
—
193551203
—
TX
05
—
193551207
—
TX
05
—
193551208
—
TX
05
—
193551209
—
TX
Enumeration date
01/15/2008
Last updated
05/19/2023
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