Organization
NASA PSYCHIATRIC CARE LLC
Active
Other names
NASA PSYCHIATRIC CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES AONDO (DIRECTOR)
(817) 386-7670
Entity
Organization
Contact information
Practice address
6609 MCCART AVE, FORT WORTH, TX 76133-5633
(817) 386-7670
(682) 428-7559
Mailing address
6609 MCCART AVE, FORT WORTH, TX 76133-5633
(817) 386-7670
(682) 428-7559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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