Organization
UNIVERSITY OF NORTH TEXAS
Active
Organization
UNIVERSITY OF NORTH TEXAS
Active
Parent organization
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORTWORTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORTWORTH
Authorized official
CAROLINE KEMUNTO MOSE PMHNP (NURSE PRACTITIONER)
(817) 412-8521
Entity
Organization
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 702-3636
(807) 702-8439
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 702-3636
(817) 702-8439
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
AP129874
TX
Other
Enumeration date
02/03/2016
Last updated
02/12/2016
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