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Contact Information

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
3500 CAMP BOWIE BOULEVARD
FORT WORTH, TX76107
 Phone: 817-735-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH · (Female)

NPI # 1740397066
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2006
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 082012801
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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