Organization
FORT WORTH NORTHSIDE COMMUNITY HEALTH CENTER
Active
Other names
FWNCHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY L. HERRERA MSSW (CHIEF EXECUTIVE OFFICER)
(817) 378-0855
Entity
Organization
Contact information
Practice address
2106 N. MAIN, FORT WORTH, TX 76106-8570
(817) 625-4254
Mailing address
2100 N MAIN ST, STE 215, FORT WORTH, TX 76106-8576
(817) 378-0855
(817) 378-0861
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
05/24/2005
Last updated
08/22/2020
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