Organization
FRUIT STREET HEALTH, PBC
Active
Organization
FRUIT STREET HEALTH, PBC
Active
Other names
Fruit Street Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE GIRARD (CEO)
(347) 515-2417
Entity
Organization
Contact information
Practice address
5601 BRIDGE ST STE 300, FORT WORTH, TX 76112-2355
(347) 647-6724
(888) 740-2155
Mailing address
5601 BRIDGE ST STE 300, FORT WORTH, TX 76112-2355
(347) 647-6724
(888) 740-2155
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
12/16/2024
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