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Organization
TEXAS ENT CENTER, PLLC
Active
Organization
TEXAS ENT CENTER, PLLC
Active
Other names
Texas ENT Center PA, Texas ENT Center, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LYN WALDEN (PRACTICE MANAGER/ ADMINISTRATOR)
(817) 431-7985
Entity
Organization
Contact information
Practice address
4601 HERITAGE TRACE PARKWAY, FORT WORTH, TX 76244
(817) 431-7985
(817) 431-5031
Mailing address
4601 HERITAGE TRACE PARKWAY, FORT WORTH, TX 76244-6443
(817) 431-7985
(817) 431-5031
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
N6768
TX
Other
Enumeration date
10/05/2010
Last updated
09/16/2025
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