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Organization
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Active
Organization
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Active
Parent organization
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Authorized official
LESLIE HENDERSON (REVENUE CYCLE DIRECTOR)
(817) 735-2008
Entity
Organization
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107
(817) 735-2000
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ2055
RAILROAD MEDICARE
TX
Enumeration date
02/03/2006
Last updated
06/06/2018
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