VINE URGENT CARE PLLC NPI 1336746080

NPI Information

VINE URGENT CARE PLLC is an urgent care clinic center in Fort Worth, TX. VINE URGENT CARE PLLC NPI is 1336746080. The provider is registered as an organization entity type.

The provider's business location address is:

1661 EASTCHASE PKWY
FORT WORTH, TX
ZIP 76120-407
Phone: (682) 250-5700
Fax: (682) 250-5705

The provider's authorized official is Ehab Hanna .
The authorized official title is Sole Mbr and has the following contact phone number (682) 250-5700.

The CLIA number assigned to this NPI record is 45D2217263 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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