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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