Fort Worth Northside Community Health Center
NPI #1730182585 in Fort Worth, Texas
Provider Information
- NPI Number
- 1730182585
- Entity Type
- Organization
- Organization Name
- Fort Worth Northside Community Health Center
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- May 24, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2106 N. MAIN
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76106-8570
- Phone
- (817) 625-4254
Authorized Official
- Name
- MR. EDDY L. HERRERA, MSSW
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (817) 378-0855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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