CAREATC-FORT WORTH NPI 1629520234

NPI Information

CAREATC-FORT WORTH is a primary care clinic center in Fort Worth, TX. CAREATC-FORT WORTH NPI is 1629520234. The provider is registered as an organization entity type.

The provider's business location address is:

6618 FOSSIL BLUFF DR
SUITE 132
FORT WORTH, TX
ZIP 76137-533
Phone: (800) 993-8244

The provider's authorized official is Keith Gucwa .
The authorized official title is Dir Of Facilities And Purchasing and has the following contact phone number (918) 779-7416.

The CLIA number assigned to this NPI record is 45D2025815 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2016 and was last updated on 10/30/2016.

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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