SOUTHWESTERN BAPTIST THEOLOGICAL SEMINARY 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). SOUTHWESTERN BAPTIST THEOLOGICAL SEMINARY NPI is 1790013787. The provider is registered as an organization entity type.
The provider Other Name Is Campus Clinic.
The provider's business location address is:
4501 STANLEY AVE
FORT WORTH, TX
ZIP 76115-156
Phone: (817) 921-8880
Fax: (817) 921-8881
The provider's authorized official is Kevin D Ensley .
The authorized official title is Vice President For Business Adminis and has the following contact phone number (817) 923-1921.
The CLIA number assigned to this NPI record is 45D1085282 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/2/2009 and was last updated on 12/2/2009.