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Individual

ROSS HAENTJENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
4401 BOOTH CALLOWAY RD, NORTH RICHLAND HILLS, TX 76180-7371
(817) 255-1260
Mailing address
4121 JENNY LAKE TRL, FORT WORTH, TX 76244-6923

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
964072
TX

Other

Enumeration date
03/09/2026
Last updated
03/09/2026
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