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UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH NPI 1659473056


NPI Information

NPI: 1659473056
Provider Name: UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1307 8TH AVE STE 403
FORT WORTH, TX
ZIP 76104
Phone: (682) 207-1375
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UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH is an obstetrics gynecology in Fort Worth, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH NPI is 1659473056. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1307 8TH AVE STE 403
FORT WORTH, TX
ZIP 76104-143
Phone: (682) 207-1375
Fax: (682) 207-1377

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 9/5/2006 and was last updated on 12/16/2019.


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
1207V00000XObstetrics & GynecologyYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4367A00000XAdvanced Practice MidwifeNo

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
1138980118MEDICAIDTEXAS

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: 4/28/2024

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