Provider Demographics
NPI:1053608547
Name:CARENOW
Entity type:Organization
Organization Name:CARENOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:SALES
Authorized Official - Last Name:FORTE
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:817-832-2964
Mailing Address - Street 1:324 INDIAN BLANKET DR
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-2586
Mailing Address - Country:US
Mailing Address - Phone:817-832-2964
Mailing Address - Fax:
Practice Address - Street 1:7400 MCCART AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-7270
Practice Address - Country:US
Practice Address - Phone:817-294-1651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTEMPORARY LICENSE261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center