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Contact Information

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
855 MONTGOMERY ST
FORT WORTH, TX76107
 Phone: 817-735-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH

NPI Number 1053416289
LBN Legal business name UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Authorized official LESLIE HENDERSON - (REVENUE CYCLE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/13/2006
Last updated 05/29/2018 - About 8 years ago
Identifiers
TX Medicaid 138980109
Other 00BA05 MEDICARE
TX Other CQ2055 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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