Organization · Type 2 NPI

Soul Foundation Inc

Health Service Clinic/Center · Fort Worth, TX

NPI number 1265149892 Active

Practice location

1111 5th Ave
Fort Worth, TX 76104-4302

Mailing address

4940 N Tarrant Pkwy
Fort Worth, TX 76244-5433

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Dentist 122300000XNone listed
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Health Service Clinic/Center Primary 261QH0100XNone listed
Nurse Practitioner 363L00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Health Service Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1265149892

Soul Foundation Inc's National Provider Identifier is 1265149892, issued on Nov 2, 2022. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 2, 2022.