Organization
VINE URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB HANNA MD (SOLE MBR)
(682) 250-5700
Entity
Organization
Contact information
Practice address
1661 EASTCHASE PKWY, FORT WORTH, TX 76120-4407
(682) 250-5700
(682) 250-5705
Mailing address
6251 OAKMONT BLVD, FORT WORTH, TX 76132-3119
(682) 250-5700
(682) 250-5705
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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