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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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