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1104506047
TIMOTHY MCCADE
FORT WORTH, TX
NPI
1104506047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1129638)
Enumeration Date
2023-07-24
Last Update Date
2023-08-02
Business Address
TIMOTHY MCCADE
601 W TERRELL AVE
FORT WORTH, TX 76104-3243
Phone number: 817-702-3100
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Mailing Address
TIMOTHY MCCADE
200 W MAGNOLIA AVE STE 200
FORT WORTH, TX 76104-7657
Phone number: 817-702-2450
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