Unknown Individual – Licensed Vocational Nurse, NPI 1699847368
Licensed Vocational Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5725, Geddes Avenue, Como, Fort Worth, Tarrant County, Texas, 76107, United States
FORT WORTH, TX 761075813
Phone: (817) 570-2247
Fax: (817) 570-2231
Type: Mailing
6000, Western Place, Fort Worth, Tarrant County, Texas, 76107, United States
SUITE 300
FORT WORTH, TX 761075813
Phone: (817) 570-2247
Fax: (817) 570-2231
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76107)
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