Keith Metcalf in Fort Worth - Nutrition Support
Keith Metcalf - NPI 1073646139
Keith Metcalf is a Nutrition Support in Fort Worth, Texas. Keith Metcalf practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Keith Metcalf is 1073646139. The last update date is 2007-07-08.
Keith Metcalf's current location address is 1400 8th Ave, Fort Worth, Texas. You can contact this provider via phone number 8179276141 and fax number 8179221799. The mailing address for Keith Metcalf is 1400 8th Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Metcalf |
|---|---|
| Address | 1400 8th Ave, Fort Worth, Texas |
| Phone Number | 8179276141 |
| Fax Number | 8179221799 |
| Sole Proprietor | N |
| Credentials | PHARMD, BC |
NPI Number Detail
| NPI Number | 1073646139 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1400 8th Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761044110 |
| Phone Number | 8179276141 |
| Fax Number | 8179221799 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition Support |
|---|---|
| Taxonomy | 1835N1003X |
| Licence No | 21043 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
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What is the unique 10-digit identification code assigned to Keith Metcalf by the Centers for Medicare & Medicaid Services?
The Keith Metcalf has been issued the NPI (National Provider Identifier) 1073646139, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Keith Metcalf's physical address?
The Keith Metcalf is physically located at 1400 8Th Ave, in the city of Fort Worth, TX, with the postal code 761044110.
What is the Keith Metcalf's specialty and taxonomy code?
The Keith Metcalf's specialty is Nutrition Support, and the corresponding taxonomy code is 1835N1003X.
When did Keith Metcalf receive its 1073646139 assignment?
The Keith Metcalf was assigned its 1073646139 on 2007-03-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Keith Metcalf, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Keith Metcalf, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.