Our Place Adolescent and Young Adult Health, Pllc
NPI #1396506010 in Fort Worth, Texas
Provider Information
- NPI Number
- 1396506010
- Entity Type
- Organization
- Organization Name
- Our Place Adolescent and Young Adult Health, Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jan 19, 2024
- Last Updated
- Jan 19, 2024
Practice Location
- Address
- 4200 S HULEN ST STE 450
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76109-4910
- Phone
- (817) 524-1811
Authorized Official
- Name
- CAROLYN PARCELLS, MD
- Title
- OWNER
- Phone
- (832) 865-8371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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