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SELF RICHARD DBA

Private Vehicle

NPI: 1003062472Organization

Specialties, Licenses & Credentials

Residential Treatment Facility, Physical Disabilities

Code: 320700000X

09332825(TX)

Private Vehicle

Code: 347C00000X

09332825(TX)

Contact & Hours

Address
6701 CALMONT AVE APT 101
FORT WORTH, TX 76116

Quick Facts

NPI
1003062472
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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