Tadlock, Valorie

Tadlock, Valorie is an individual health care provider with primary practice located at 601 W Terrell Ave , Fort Worth TX 76104-3243. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tadlock, Valorie can be contacted via phone (817) 702-3100.

Contact Information

Primary practice address
601 W Terrell Ave Fort Worth TX 76104-3243
Phone: (817) 702-3100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 602214 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP113767 Texas

Profile Details

NPI number 1144406612
LBN Legal business name Tadlock, Valorie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2008
Last updated May 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144406612 NPPES
Texas MEDICAID 193551209
Texas MEDICAID 193551203
Texas MEDICAID 193551201
Texas MEDICAID 193551202
Texas MEDICAID 193551207
Texas MEDICAID 193551208

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