Healthcare Provider Details

I. General information

NPI: 1063879161
Provider Name (Legal Business Name): THE GIFT ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 JOHN T WHITE RD
FORT WORTH TX
76120-3311
US

IV. Provider business mailing address

PO BOX 1953
ARLINGTON TX
76004-1953
US

V. Phone/Fax

Practice location:
  • Phone: 817-338-9553
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS R MILLER
Title or Position: OWNER
Credential: PH.D.
Phone: 817-338-9553