Unknown Individual – Licensed Vocational Nurse, NPI 1710165949
Licensed Vocational Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6932, Fallbrook Court, Fort Worth, Tarrant County, Texas, 76120, United States
FORT WORTH, TX 761201316
Phone: (682) 667-1950
Fax: (817) 496-6478
Mailing address matches the actual address.
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
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76120)
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