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Contact Information

MHMR-TC
1200 CIRCLE DRIVE STE 400B
FORT WORTH, TX76119
 Phone: 817-569-4750
 Fax: 817-569-4796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for MHMR-TC

NPI Number 1063748853
LBN Legal business name MHMR-TC
Authorized official JOSEPH BURKETT - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2009
Last updated 10/29/2009 - About 17 years ago
Identifiers
TX License # 462622
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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