Organization
CHANNING ENTERPRISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY EARL (ASST.CEO)
(817) 366-1344
Entity
Organization
Contact information
Practice address
1009 BAKER ST, FORT WORTH, TX 76104-7211
(817) 926-8333
Mailing address
7309 FREDRICKSBURG DR, FOREST HILL, TX 76140-2517
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
TX
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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