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Contact Information

22KILL
855 TEXAS ST STE 105
FORT WORTH, TX76102-4574
 Phone: 682-990-6242
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for 22KILL

NPI # 1811524085
LBN Legal business name 22KILL
Authorized official TEMPA SHERRILL - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2020
Last updated 03/26/2020 - About 6 years ago
Identifiers n/a
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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