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General NPI Number Information
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NPI Number | 1942749478
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Entity Type | Organization
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Legal Business Name | TEXAS HEALTH, LLC
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 3304 SE LOOP 820 SUITE A
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City | FORT WORTH
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State | TX
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Zip | 76140-1113
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Country | US
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Telephone | 817-984-7545
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Fax | 817-533-2654
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Provider Business Mailing Address
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Address Line | 3304 SE LOOP 820 SUITE A
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City | FORT WORTH
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State | TX
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Zip | 76140-1113
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Country | US
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Telephone | 817-984-7545
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Fax | 817-533-2654
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Authorized Official
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Title or Position | MANAGER
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Name | PHIL BOHART
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Credential |
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Telephone | 214-692-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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