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NPI Code Detail

MEDICARE: USMD HOSPITAL AT FORT WORTH, L.P.

MEDICARE: USMD HOSPITAL AT FORT WORTH, L.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1568656502
Entity Type Code : Organization
Provider Name (Legal Business Name) : USMD HOSPITAL AT FORT WORTH, L.P.
Provider Business Mailing Address
First Line : 6333 N STATE HIGHWAY 161
Second Line : SUITE 200
City : IRVING
State : TX
Zip : 75038-2215
Country : US
Telephone Number : 214-493-4000
Fax Number :
Provider Business Practice Location Address
First Line : 5900 DIRKS RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-5473
Country : US
Telephone Number : 817-433-9100
Fax Number :
Authorized Official
Title or Position : CHAIRMAN OF THE BOARD OF DIRECTORS
Name : MS. KAREN A FIDUCIA
Credential :
Telephone Number : 214-493-4000
Provider Enumeration Date : 09/04/2007
Last Update Date : 12/03/2008

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Directions to “USMD HOSPITAL AT FORT WORTH, L.P. ” Practice Location

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