Aids Healthcare Foundation Texas INC
NPI #1104190115 in Fort Worth, Texas
Provider Information
- NPI Number
- 1104190115
- Entity Type
- Organization
- Organization Name
- Aids Healthcare Foundation Texas INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 8, 2012
- Last Updated
- Sep 11, 2019
Practice Location
- Address
- 400 N BEACH ST
- Address 2
- SUITE 104
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76111-7010
- Phone
- (817) 831-1750
Authorized Official
- Name
- DONNA STIDHAM
- Title
- CHIEF, MANAGED CARE
- Phone
- (323) 436-5025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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