Organization
DIRECT PRIMARY CARE IN TEXAS LLC
Active
Organization
DIRECT PRIMARY CARE IN TEXAS LLC
Active
Other names
Direct Primary Care In Texas LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GRAHAM (MANAGER)
(817) 349-9228
Entity
Organization
Contact information
Practice address
7311 S HULEN ST, FORT WORTH, TX 76133-6616
(817) 349-9228
Mailing address
7311 S HULEN ST, FORT WORTH, TX 76133-6616
(817) 349-9228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/08/2020
Last updated
02/08/2023
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