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UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH NPI 1376645564


NPI Information

NPI: 1376645564
Provider Name: UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2000
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UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH is a neuromusculoskeletal medicine omm in Fort Worth, TX. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH NPI is 1376645564. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2000

The provider's authorized official is Leslie Henderson .
The authorized official title is Revenue Cycle Director and has the following contact phone number (817) 735-2008.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 6/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMMYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1138980121MEDICAIDTEXAS
2138980117MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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