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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