Organization
TARRANT COUNTY PUBLIC HEALTH
Active
Organization
TARRANT COUNTY PUBLIC HEALTH
Active
Parent organization
TARRANT COUNTY PUBLIC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
TARRANT COUNTY PUBLIC HEALTH
Authorized official
MR. JASON FAIN NEVOIT ACRN (MANAGER)
(817) 321-4813
Entity
Organization
Contact information
Practice address
1101 S MAIN ST RM 1500, PREVENTIVE MEDICINE CLINIC, FORT WORTH, TX 76104-4802
(817) 321-4813
(817) 321-4809
Mailing address
1101 S MAIN ST RM 1500, PREVENTIVE MEDICINE CLINIC, FORT WORTH, TX 76104-4802
(817) 321-4813
(817) 321-4809
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
105716
TX
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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