NPI 1306487426
Fort Healthcare LLC
Practice location
- Address
- 5833 Oakbend Trail #200, Fort Worth, TX 76132-3900
- Phone
- (817) 678-7428
- Mailing address
- 7140 Oakmont Blvd, Fort Worth, TX 76132-3900
Authorised official
- Name
- Benard a Sodek
- Title
- Controller
- Phone
- (817) 678-7428
Registered specialties (3)
Psychiatric Residential Treatment Facility
Primary
Multi-Specialty Clinic/Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1306487426
- Entity type
- Organization
- NPI issued
- 30 Sep 2019
- Record last updated
- 4 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.