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Organization

MY HEALTH MY RESOURCES OF TARRANT COUNTY

Active
Parent organization
1376590422
Other names
MHMR Of Tarrant County
Organization subpart
Yes

Provider details

NPI number
Legal business name
1376590422
Authorized official
MRS. VICKI CAMPBELL (PFS BILLING MANAGER)
(817) 569-5322
Entity
Organization

Contact information

Practice address
3840 HULEN ST, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76107-7277
(817) 569-4396
(817) 569-4517
Mailing address
PO BOX 2603, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4396
(817) 569-4517

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
261QC1500X
Community Health Clinic/Center
TX
261QR0800X
Recovery Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081599501
TX
Enumeration date
04/04/2007
Last updated
12/12/2025
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