Ann Revard is a Clinical in Fort Worth, Texas. Ann Revard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ann Revard is 1194996900. The last update date is 2019-10-09.
Ann Revard's current location address is 1533 Merrimac Cir Ste 101, Fort Worth, Texas. You can contact this provider via phone number 8178100030 and fax number 8178773562. The mailing address for Ann Revard is 1533 Merrimac Cir Ste 101, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ann Revard |
|---|---|
| Address | 1533 Merrimac Cir Ste 101, Fort Worth, Texas |
| Phone Number | 8178100030 |
| Fax Number | 8178773562 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1194996900 |
|---|---|
| Provider Enumeration Date | 2008-03-19 |
| Last Updated Date | 2019-10-09 |
Provider Mailing Address Detail
| Address | 1533 Merrimac Cir Ste 101 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761076506 |
| Phone Number | 8178100030 |
| Fax Number | 8178773562 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 23021 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 193616302 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ann Revard by the Centers for Medicare & Medicaid Services?
The Ann Revard has been issued the NPI (National Provider Identifier) 1194996900, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ann Revard is geographically located?
The Ann Revard is physically situated at the following location: 1533 Merrimac Cir Ste 101, Fort Worth, TX, 761076506.
What is Ann Revard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ann Revard is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194996900 to Ann Revard?
The Centers for Medicare & Medicaid Services assigned the 1194996900 to Ann Revard on 2008-03-19.
When was the information related to Ann Revard most recently updated or refreshed?
The details pertaining to the Ann Revard, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-10-09.
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