Organization
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Active
Parent organization
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Authorized official
LESLIE MCGEE HENDERSON (DIRECTOR OF REVENUE CYCLE)
(817) 735-2008
Entity
Organization
Contact information
Practice address
1800 W CHESTNUT ST, DENTON, TX 76201
(640) 565-2333
Mailing address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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