Organization
TEXAS CARE CENTER FW NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MOORE (OWNER)
(469) 918-3430
Entity
Organization
Contact information
Practice address
4200 SOUTH FWY STE 2530, FORT WORTH, TX 76115-1400
(469) 918-3430
Mailing address
4200 SOUTH FWY STE 2530, FORT WORTH, TX 76115-1400
(469) 918-3430
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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