UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH NPI 1003001173

Pathology (Clinical Pathology/Laboratory Medicine) in Fort Worth, TX

Organization Pathology Clinical Pathology/Laboratory Medicine

About UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH

University Of North Texas Health Science Center Of Fort Worth is a provider established in Fort Worth, Texas specializing in pathology. The NPI number of University Of North Texas Health Science Center Of Fort Worth is 1003001173 and was assigned on September 2007. The practitioner's primary taxonomy code is 207ZP0105X. The provider is registered as an organization and their NPI record was last updated one year ago. University Of North Texas Health Science Center Of Fort Worth operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.
The authorized official of this NPI record is Leslie Henderson (Revenue Cycle Director)

NPI

1003001173

Provider NameUNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
Provider Location Address855 MONTGOMERY ST FORT WORTH, TX 76107
Provider Mailing Address3500 CAMP BOWIE BLVD FORT WORTH, TX 76107
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-11-2007
Last Update Date06-06-2018

Primary Taxonomy

Taxonomy Code207ZP0105X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationClinical Pathology/Laboratory Medicine
Taxonomy DescriptionA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Business Address

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2000

Get Directions

Mailing Address

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
3500 CAMP BOWIE BLVD
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2000

Authorized Official

Authorized Official Name LESLIE HENDERSON
Authorized Official TitleREVENUE CYCLE DIRECTOR
Authorized Official Phone(817) 735-2008

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
138980112MEDICAID (05)TX

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053375543 BARBARA A ATKINSON DO
Individual
Internal Medicine (Infectious Disease)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1093793226 EVERT RANDALL BENTLEY DO
Individual
Internal Medicine855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1093795478 DAVID C MASON DO
Individual
Family Medicine855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2235
1144284910 TOYYA S GOODRICH DO
Individual
Pediatrics855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2363
1164487583 NANCY A TIERNEY NP
Individual
Nurse Practitioner (Acute Care)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1174587935 CRAIG W SPELLMAN DO
Individual
855 MONTGOMERY ST PATIENT CARE CENTER 3RD FL
FORT WORTH, TX 76107
(817) 735-2660
1184688053 BARBARA L HARTY GNP
Individual
Nurse Practitioner (Gerontology)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1194788844 RAHUL K PATEL MD
Individual
Internal Medicine (Rheumatology)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1225000326 MONTE E TROUTMAN DO
Individual
Internal Medicine (Gastroenterology)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1245203488 JERRY DICKEY DO
Individual
Neuromusculoskeletal Medicine & OMM855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2235
1275598856 WILLIAM E MCINTOSH DO
Individual
Psychiatry & Neurology (Neurology)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1285632133 SHARON M GUSTOWSKI DO
Individual
Neuromusculoskeletal Medicine & OMM855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2235
1285696658 SUSAN FRANKS PHD
Individual
Psychologist (Clinical)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2400
1407810344 JOHN K PODGORE DO
Individual
Pediatrics855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2363
1629032560 SARAH J MATCHES DO
Individual
Pediatrics855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2363
1700859154 RUSSELL GAMBER DO
Individual
Neuromusculoskeletal Medicine & OMM855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2235
1790749570 CHRISTOPHER COOPER PA
Individual
Physician Assistant855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2363
1801868906 MICHAEL ERNEST WIMMER MD
Individual
Physical Medicine & Rehabilitation855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2900
1922087055 AMY E MOSS DO
Individual
Internal Medicine855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1952362550 JAMES ROCH
Individual
Physician Assistant855 MONTGOMERY ST PCC-SECOND FLOOR
FORT WORTH, TX 76107
(817) 735-2228

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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