# UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992355499
- **Legal business name:** UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
- **Authorized official:** LESLIE MCGEE HENDERSON (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (817) 735-2008

## Contact information

- **Practice address:** 1800 W CHESTNUT ST, DENTON, TX 76201
- **Practice address phone:** (640) 565-2333
- **Mailing address:** 855 MONTGOMERY ST, FORT WORTH, TX 76107-2553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2019
- **Last updated:** 09/17/2019