Organization
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
Active
Other names
Texas Health Medical Labs
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF MINCHER (SVP REVENUE CYCLE)
(682) 236-3013
Entity
Organization
Contact information
Practice address
1401 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2113
(817) 250-5672
(817) 250-5579
Mailing address
1401 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2113
(817) 250-5672
(817) 250-5579
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087501
COLLEGE OF AMERICAN PATHOLOGIST
—
01
—
45D0701182
CLIA
—
Enumeration date
08/27/2009
Last updated
04/22/2026
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