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Tackett Custom Medicine
Clinic/Center in Weatherford, Texas
NPI 1497009583

Tackett Custom Medicine is a Clinic/Center based in Willow Park, TX. Tackett Custom Medicine practices in Weatherford, TX. The NPI Number for Tackett Custom Medicine is 1497009583 and holds a License No. 28226 (Texas).

The current practice location address for Tackett Custom Medicine is 175 College Park Dr, Weatherford, TX and can be reached out via phone at 817-550-6046 and via fax at 817-550-6047.

Location: 175 College Park Dr, Weatherford, TX, 76087-8865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497009583
Provider Name
Tackett Custom Medicine
Credential
Provider Entity Type
Organization
Address
175 College Park Dr, Weatherford, TX, 76087-8865
Phone Number
817-550-6046
Fax Number
817-550-6047
Provider Enumeration Date
10/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
175 College Park Dr
City
Weatherford
State
Texas
Zip
76086-6211
Phone Number
817-550-6046
Fax Number
817-550-6047
person
Provider Business Mailing Address Details
Address
175 College Park Dr
City
Weatherford
State
Texas
Zip
76086-6211
Phone Number
817-550-6046
Fax Number
817-550-6047
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
28226 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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