Organization
NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC
Active
Other names
Southeast Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
GERRIE WHITAKER (CEO)
(817) 625-4254
Entity
Organization
Contact information
Practice address
2909 MITCHELL BLVD, FORT WORTH, TX 76105-4642
(817) 625-4254
(817) 740-8612
Mailing address
2332 BEVERLY HILLS DR, FORT WORTH, TX 76114-1756
(817) 625-4254
(817) 740-8612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
516819
TX
Other
Enumeration date
08/25/2010
Last updated
10/28/2024
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