OrganizationActive
Tackett Custom Medicine
NPI 1497009583 · Clinic/Center · Weatherford, TX
Provider details
- NPI number
- 1497009583
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Morris, Pic(817) 441-7046
- License
- 28226 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
175 College Park Dr
Weatherford, TX 76086-6211
Phone: (817) 550-6046
Fax: (817) 550-6047
Street-level locationGet directions
Mailing address
132 El Chico Trl
Willow Park, TX 76087-8865
Registry dates
- Enumerated
- 2012-10-29
- Last updated
- 2012-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.