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MONCRIEF CANCER INSTITUTE
NPI 1134443765
Clinic/Center - Medical Specialty in Fort Worth, TX

Active since March 25, 2010CLIA 45D2176414 · Waiver
400 W MAGNOLIA AVE, FORT WORTH, TX 76104(817) 288-9800 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Moncrief Cancer Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONCRIEF CANCER INSTITUTE (NPI 1134443765) is a healthcare organization registered as a medical specialty in Fort Worth, Texas and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Bruce A. Meyer, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1134443765
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameUT SOUTHWESTERN MONCRIEF CANCER CENTER
Location Address400 W MAGNOLIA AVEFort Worth, TX 76104-7617
Mailing Address400 W Magnolia AveFort Worth, TX 76104-7617 · (817) 288-9800
Phone(817) 288-9800
Organization SubpartNo
Authorized OfficialBruce A. MeyerExecutive Vice President · (214) 645-0624
Enumeration DateMarch 25, 2010
Last NPPES UpdateJuly 11, 2013
✔ NPI 1134443765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in TX · G7980
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

400 W MAGNOLIA AVE, Fort Worth, TX 76104
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Other Names 1

Doing Business AsMoncrief Cancer Institute

Other Identifiers 1

Medicaid109397302TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2176414

Ut Southwestern/Moncrief Cancer Institute · Fort Worth, TX
Active · expires Dec 12, 2027
CLIA Number45D2176414
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorKeith E. Argenbright
Laboratory Phone(817) 288-9866
Laboratory LocationUt Southwestern/Moncrief Cancer Institute400 W Magnolia Ave, Fort Worth, TX 76104
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH EDWARD ARGENBRIGHT M.D.
Family Medicine
400 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 288-9800
PARKER READ M.S.
Genetic Counselor, MS
400 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 288-9800
BRITTANY HALL PH.D.
Psychologist
400 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 288-9800
CHANDLER MYERS MS
Genetic Counselor, MS
400 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 288-9800
INA PATEL D.O.
Internal Medicine (Hematology & Oncology)
400 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 288-9700
CHIYON CARROLL
Nurse Practitioner
400 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 288-9700
JANA HEADY MS
Genetic Counselor, MS
400 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (214) 645-2563
DR. ETHAN TOBIAS M.D.
Internal Medicine (Hematology & Oncology)
400 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 288-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ut Southwestern Moncrief Cancer Center's NPI number?

The NPI number for Ut Southwestern Moncrief Cancer Center is 1134443765. It was assigned to this organization in the NPPES registry on March 25, 2010. The provider is doing business as Moncrief Cancer Institute.

Where is Ut Southwestern Moncrief Cancer Center located?

Ut Southwestern Moncrief Cancer Center is located at 400 W Magnolia Ave, Fort Worth, TX 76104. The listed phone number is (817) 288-9800.

What is Ut Southwestern Moncrief Cancer Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Ut Southwestern Moncrief Cancer Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2176414) is associated with this NPI, valid through December 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ut Southwestern Moncrief Cancer Center was last updated on July 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.