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Organization

CATHOLIC CHARITIES DIOCESE OF FORT WORTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MONICA GAIL QUIROZ (VICE PRESIDENT OF ADMINISTRATION)
(817) 413-3912
Entity
Organization

Contact information

Practice address
2701 BURCHILL RD N, FORT WORTH, TX 76105-3012
(817) 413-3912
(817) 535-8779
Mailing address
2701 BURCHILL RD N, FORT WORTH, TX 76105-3012
(817) 413-3912
(817) 535-8779

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111439903
TX
Enumeration date
07/10/2008
Last updated
07/10/2008
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