Organization
MY HEALTH MY RESOURCES OF TARRANT COUNTU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENITA PARKER (CREDENTIALING MANAGER)
(817) 569-4423
Entity
Organization
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4300
(817) 569-4491
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4300
(817) 569-4491
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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