NPI 1003001173

University of North Texas Health Science Center of Fort Worth

Organisation Clinical Pathology/Laboratory Medicine Physician Fort Worth, TX

Practice location

Address: 855 Montgomery St, Fort Worth, TX 76107
Phone: (817) 735-2000
Mailing address: 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644

Authorised official

Name: Leslie Henderson
Title: Revenue Cycle Director
Phone: (817) 735-2008

Registered specialties

Clinical Pathology/Laboratory Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0105X

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Registry record

NPI: 1003001173
Entity type: Organization
NPI issued: 11 Sep 2007
Record last updated: 6 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.