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UNIVERSITY FAMILY MEDICAL CLINIC P.A. NPI 1407049034


NPI Information

NPI: 1407049034
Provider Name: UNIVERSITY FAMILY MEDICAL CLINIC P.A.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
117 UNIVERSITY DR
FORT WORTH, TX
ZIP 76107
Phone: (817) 338-0555
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UNIVERSITY FAMILY MEDICAL CLINIC P.A. is a clinic center in Fort Worth, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). UNIVERSITY FAMILY MEDICAL CLINIC P.A. NPI is 1407049034. The provider is registered as an organization entity type.

The provider's business location address is:

117 UNIVERSITY DR
FORT WORTH, TX
ZIP 76107-922
Phone: (817) 338-0555
Fax: (817) 338-4039

The provider's authorized official is H Thomas Willard .
The authorized official title is Owner and has the following contact phone number (817) 338-0555.

The enumeration date for this NPI number is 8/27/2007 and was last updated on 8/27/2007.


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
1261Q00000XClinic/CenterH0939TEXASYes

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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