45D0929686 CLIA NUMBER - NORTH TARRANT FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 45D0929686

Facility Name: NORTH TARRANT FAMILY PRACTICE

Facility Address:
5445 BASSWOOD BLVD STE 150
FORT WORTH, TX
ZIP 76137
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Facility Phone Number: 817 485-0161

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740369073

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0929686
LAB Type	Physician Office
Facility Name	NORTH TARRANT FAMILY PRACTICE
Street	5445 BASSWOOD BLVD STE 150
City	FORT WORTH
State	TX
ZIP	76137
Phone	817 485-0161
CertificateType	4
CertificateEffectiveDate	6/20/2023
CertificateExpirationDate	6/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024