TACKETT CUSTOM MEDICINE

Clinic/Center

Active Organization
NPI: 1497009583

Practice Address

175 COLLEGE PARK DR
Weatherford, TX 76086

Phone: (817) 550-6046

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes 28226 (TX)

Frequently Asked Questions

NPI 1497009583 is the National Provider Identifier for TACKETT CUSTOM MEDICINE, a Clinic/Center provider located in Weatherford, TX. This NPI was enumerated on October 29, 2012.

Quick Facts

NPI
1497009583
Type
Organization
Enumerated
Oct 29, 2012
Last Updated
Oct 29, 2012

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