Organization Name: | TARRANT COUNTY PUBLIC HEALTH DEPT. |
NPI Number: | 1124323191 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANITA KAYE ELLENBERGER (LVN) |
Mailing Address: | 1101 S Main St #1600 Ft Worth |
State: | TX US |
Postal Code: | 761044802 |
Phone Number: | 8173214934 |
Fax Number: | 8173214920 |
NPI Enumeration Date: | 01/21/2011 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 74925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |