Organization
HEART AND SOUL MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR CAROL (AUTHORIZED OFFICIAL)
(949) 322-6878
Entity
Organization
Contact information
Practice address
600 W 6TH ST STE 455, FORT WORTH, TX 76102-3684
(949) 322-6878
Mailing address
600 W 6TH ST STE 455, FORT WORTH, TX 76102-3684
(949) 322-6878
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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