Organization · Type 2 NPI
Tackett Custom Medicine
Clinic/Center · Weatherford, TX
NPI number
1497009583
Active
Practice location
175 College Park Dr
Weatherford, TX 76086-6211
Fax (817) 550-6047
Mailing address
132 El Chico Trl
Willow Park, TX 76087-8865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 28226 (TX) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Weatherford
- Parker County Hospital DistrictClinic/Center Weatherford, TX NPI 1194598110
- Weatherford Health Services, LLCClinic/Center Weatherford, TX NPI 1205760451
- Weatherford WholehealthClinic/Center Weatherford, TX NPI 1568271922
- RJ Medical Services LLCClinic/Center Weatherford, TX NPI 1588253678
- Restorative Motion & Health LLCClinic/Center Weatherford, TX NPI 1760376867
- Rediclinic Us, LLCClinic/Center Weatherford, TX NPI 1790952075
About NPI 1497009583
Tackett Custom Medicine's National Provider Identifier is 1497009583, issued on Oct 29, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Weatherford, TX. The record was last updated on Oct 29, 2012.