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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TACKETT CUSTOM MEDICINE

Active Organization

TACKETT CUSTOM MEDICINE is a Clinic/Center organization located in WEATHERFORD, Texas. NPI 1497009583 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · WEATHERFORD, TX

Registration Details

NPI Number
1497009583
Provider Type
Organization
NPI Issued
Oct 29, 2012 (13.609474059974 yrs)
Last Updated
Oct 29, 2012
License
28226 (TX)

Practice Information

Address
175 COLLEGE PARK DR
WEATHERFORD, TX, 760866211
Browse TX providers · Browse ZIP 76086
Phone
8175506046
Fax
8175506047
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in WEATHERFORD, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.