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Robert Shelton JR.
Adult Day Care Clinic/Center in Fort Worth, Texas
NPI 1740933316

Robert Shelton JR. is an Adult Day Care Clinic/Center based in Arlington, TX and is specialized in Adult Day Care. Robert Shelton JR. practices in Fort Worth, TX. The NPI Number for Robert Shelton JR. is 1740933316 and holds a License No. (Texas).

The current practice location address for Robert Shelton JR. is 3504 Mt Vernon Ave, Fort Worth, TX and can be reached out via phone at 214-900-8360.

Location: 3504 Mt Vernon Ave, Fort Worth, TX, 76096-1698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740933316
Provider Name
Robert Shelton JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3504 Mt Vernon Ave, Fort Worth, TX, 76096-1698
Phone Number
214-900-8360
Fax Number
Provider Enumeration Date
02/02/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410 05 TX
institution
Provider Business Practice Location Address Details
Address
3504 Mt Vernon Ave
City
Fort Worth
State
Texas
Zip
76103-2527
Phone Number
214-900-8360
Fax Number
person
Provider Business Mailing Address Details
Address
3504 Mt Vernon Ave
City
Fort Worth
State
Texas
Zip
76103-2527
Phone Number
214-900-8360
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
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