Organization
COUNTY OF TARRANT
Active
Other names
Tarrant County Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE A COLQUITT M.D. (MEDICAL DIRECTOR)
(817) 321-5344
Entity
Organization
Contact information
Practice address
1101 S MAIN STREET, FORT WORTH, TX 76104
(817) 321-4700
(817) 850-5845
Mailing address
1101 S MAIN ST # 2106, FORT WORTH, TX 76104-4802
(817) 321-4700
(817) 850-5845
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
45D0659873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083149703
—
TX
05
—
083149704
—
TX
Enumeration date
05/02/2006
Last updated
09/01/2022
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