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TACKETT CUSTOM MEDICINE
NPI 1497009583
Clinic/Center in Weatherford, TX

Active since October 29, 2012
175 COLLEGE PARK DR, WEATHERFORD, TX 76086(817) 550-6046(817) 550-6047 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tackett Custom Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TACKETT CUSTOM MEDICINE (NPI 1497009583) is a healthcare organization registered as a clinic/center in Weatherford, Texas and active in the NPI registry since October 2012. The organization lists David Roger Morris, Pic, as its authorized official.

NPPES Registry Identity

NPI1497009583
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTACKETT CUSTOM MEDICINE
Location Address175 COLLEGE PARK DRWeatherford, TX 76086-6211
Mailing Address132 El Chico TrlWillow Park, TX 76087-8865 · (817) 441-7046
Phone(817) 550-6046
Fax(817) 550-6047
Organization SubpartNo
Authorized OfficialDavid Roger MorrisPic · (817) 441-7046
Enumeration DateOctober 29, 2012
✔ NPI 1497009583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · 28226
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
175 COLLEGE PARK DR, Weatherford, TX 76086
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tackett Custom Medicine's NPI number?

The NPI number for Tackett Custom Medicine is 1497009583. It was assigned to this organization in the NPPES registry on October 29, 2012.

Where is Tackett Custom Medicine located?

Tackett Custom Medicine is located at 175 College Park Dr, Weatherford, TX 76086. The listed phone number is (817) 550-6046.

What is Tackett Custom Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Tackett Custom Medicine was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.