Accredifi, LLC
Clinic/Center, Multi-Specialty in Fort Worth, TX. Organization (NPI-2).
NPI number1962215848
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1962215848
- Entity type
- Organization (NPI-2)
- Legal business name
- Accredifi, LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2025
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 305S00000X | Point of Service | – | – |
Practice location
12460 Woods Edge TrlFort Worth, TX 76244-9408
Phone 817-637-0368
Mailing address
12460 Woods Edge TrlFort Worth, TX 76244-9408
Phone 817-637-0368
Authorized official
Danieta Kay Grissman
Owner
8176370363
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