TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH
Hospitals at Pennsylvania Ave, Fort Worth, TX

License number
Texas 000652
Category
Hospitals
Type
Long Term Care Hospital
Owner
Name: MRS. CHERYL MOBLEY
Title: PRESIDENT
Phone: (817) 882-4992
Address
Address 2
1301 Pennsylvania Ave, Fort Worth, TX 76104
500 E Border St #124, Arlington, TX 76010
National Provider ID: 1730278417
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH

612 E Lamar Blvd STE 1400, Arlington, TX 76011

Registration:
Feb 28, 1979
State ID:
0046512401
Agent:
Donald B. Collins,612 E Lamar Blvd, Arlington, TX 76011 (Physical)
TIN:
17516485897

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