Organization
EARLY CHILDHOOD INTERVENTION
Active
Organization
EARLY CHILDHOOD INTERVENTION
Active
Other names
MHMR of Tarrant County
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA MAUGHAN HAMIL R.N. (REGISTERED NURSE)
(682) 429-0556
Entity
Organization
Contact information
Practice address
5650 N RIVERSIDE DR, SUITE 150, FORT WORTH, TX 76137-2464
(682) 429-0556
(817) 569-5149
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(682) 429-0556
(817) 569-5149
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
163W00000X
TX
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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