Organization
CHOT HEALTHCARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA L. JINGLE (SECRETARY)
(817) 870-2795
Entity
Organization
Contact information
Practice address
6100 WESTERN PL STE 105, FORT WORTH, TX 76107-4662
(817) 870-2795
(817) 546-2173
Mailing address
6100 WESTERN PL STE 105, FORT WORTH, TX 76107-4662
(817) 870-2795
(817) 546-2173
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/29/2023
Last updated
07/31/2024
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