Tackett Custom Medicine
Clinic/Center in Weatherford, TX. Organization (NPI-2).
NPI number1497009583
StatusActive
Last updated in NPPESOct 29, 2012
Details
- NPI
- 1497009583
- Entity type
- Organization (NPI-2)
- Legal business name
- Tackett Custom Medicine
- Organization subpart
- No
- Enumeration date
- Oct 29, 2012
- Last updated
- Oct 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 28226 | TX | Yes |
Practice location
175 College Park DrWeatherford, TX 76086-6211
Phone 817-550-6046 · Fax 817-550-6047
Mailing address
132 El Chico TrlWillow Park, TX 76087-8865
Phone 817-441-7046
Authorized official
David Roger Morris
Pic
8174417046
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinic/Center providers in Weatherford, TX
- Hode Internal Medicine, PLLCNPI 1417370057
- Parker County Hospital DistrictNPI 1194598110
- Peace Of Mind Therapy & CounselingNPI 1467334276
- Rediclinic Us, LLCNPI 1790952075
- Restorative Motion & Health LLCNPI 1760376867
- Rj Medical Services LLCNPI 1588253678
- Vigeo Ketamine And Wellness Center, LLCNPI 1912612557
- Weatherford Health Services, LLCNPI 1205760451
- Weatherford WholehealthNPI 1568271922
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.