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TEXAS REPRODUCTIVE CENTER LLC NPI 1376787572


NPI Information

NPI: 1376787572
Provider Name: TEXAS REPRODUCTIVE CENTER LLC
Classification: Clinic/Center - 261QA0006X
Entity Type: Organization

Specialization: Ambulatory Fertility Facility

Address:
1800 MISTLETOE BOULELVARD
SUITE 200
FORT WORTH, TX
ZIP 76104
Phone: (817) 546-7442
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TEXAS REPRODUCTIVE CENTER LLC is an ambulatory fertility facility clinic center in Fort Worth, TX. The provider is a fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) TEXAS REPRODUCTIVE CENTER LLC NPI is 1376787572. The provider is registered as an organization entity type.

The provider's business location address is:

1800 MISTLETOE BOULELVARD
SUITE 200
FORT WORTH, TX
ZIP 76104
Phone: (817) 546-7442
Fax: (817) 570-0411

The provider's authorized official is M Leesa Salamone .
The authorized official title is Business Manager and has the following contact phone number (817) 546-7442.

The enumeration date for this NPI number is 5/1/2009 and was last updated on 3/30/2010.


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
1261QA0006XClinic/CenterAmbulatory Fertility Facility45D1107754TEXASYes

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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