Icare Community Service LLC
NPI #1548641434 in Fort Worth, Texas
Provider Information
- NPI Number
- 1548641434
- Entity Type
- Organization
- Organization Name
- Icare Community Service LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jun 16, 2015
- Last Updated
- Jun 16, 2015
Practice Location
- Address
- 5813 OAKMONT LN
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76112-2003
- Phone
- (817) 933-2411
Authorized Official
- Name
- MR. TUAN NGOC PHAM
- Title
- OWNER
- Phone
- (817) 933-2411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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