Tackett Custom Medicine
Tackett Custom Medicine is a Clinic/Center in Weatherford, Texas. Licensed in Texas. Registered with an NPI since 2012.
- Licensed in
- TX
- In the registry since
- 2012
Practice location Address checks out
175 College Park DrWeatherford, TX 76086-6211
Phone: (817) 550-6046
Fax: (817) 550-6047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 28226 (TX) |
|---|
Record details
| NPI number | 1497009583 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Morris — Pic · (817) 441-7046 |
| NPI enumerated | October 29, 2012 |
| Last updated in NPPES | October 29, 2012 |
| Mailing address | 132 El Chico Trl, Willow Park, TX 76087-8865 |
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