MEDICARE: UNTHSC

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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1790095362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNTHSC

Provider Business Mailing Address
First Line	:	3500 CAMP BOWIE BLVD
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76107-2644
Country	:	US
Telephone Number	:	817-735-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 CAMP BOWIE BLVD
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76107
Country	:	US
Telephone Number	:	817-735-2000
Fax Number	:

Authorized Official
Title or Position	:	REVENUE CYCLE DIRECTOR
Name	:	LESLIE HENDERSON
Credential	:
Telephone Number	:	817-735-2008

Provider Enumeration Date	:	10/18/2010
Last Update Date	:	06/08/2018

Similar Medicare Providers

1700748597 — ZACHARY J KOWALSKI LCDC, LMSW
Practice Location Address:

3840 HULEN ST
FT WORTH, TX
76107-7277

Practice Phone: 817-335-3022
Practice Fax:

1124014089 — SARA C MICHAEL ARNP
Practice Location Address:

6100 WESTERN PL STE 800
FT WORTH, TX
76107-4679

Practice Phone: 877-868-4827
Practice Fax:

1770569931 — PAULA KAY FONTENOTE ANP
Practice Location Address:

401 FOCH ST APT 1436
FT WORTH, TX
76107-2598

Practice Phone: 501-463-0876
Practice Fax:

1033160015 — MONTICELLO DIAGNOSTIC IMAGING LP
Practice Location Address:

3712 W 7TH ST
FT WORTH, TX
76107-2536

Practice Phone: 817-377-3800
Practice Fax:

1174566525 — RICHARD DANE ROBINSON MD
Practice Location Address:

3808 HARLEY AVE
FT WORTH, TX
76107-4082

Practice Phone: 979-571-1660
Practice Fax:

1285642405 — DR. JANICE A. BENNETT PH.D.
Practice Location Address:

6000 WESTERN PL , STE. 300
FT WORTH, TX
76107-4607

Practice Phone: 817-570-2248
Practice Fax: 817-570-2231

1720090111 — BEST VALUE PHARMACIES INC
Practice Location Address:

5932 LOVELL AVE
FT WORTH, TX
76107-5030

Practice Phone: 817-737-6655
Practice Fax: 817-737-5018

Directions to “UNTHSC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.