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Organization

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH

Active
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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
1307 8TH AVE STE 403, FORT WORTH, TX 76104-4143
(682) 207-1375
(682) 207-1377
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—

Other

Enumeration date
09/05/2006
Last updated
12/16/2019
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