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Ut Southwestern Moncrief Cancer Center
Medical Specialty Clinic/Center in Fort Worth, Texas
NPI 1134443765

Ut Southwestern Moncrief Cancer Center is a Medical Specialty Clinic/Center based in Fort Worth, TX and is specialized in Medical Specialty. Ut Southwestern Moncrief Cancer Center practices in Fort Worth, TX. The NPI Number for Ut Southwestern Moncrief Cancer Center is 1134443765 and holds a License No. G7980 (Texas).

The current practice location address for Ut Southwestern Moncrief Cancer Center is 400 W Magnolia Ave, Fort Worth, TX and can be reached out via phone at 817-288-9800.

Location: 400 W Magnolia Ave, Fort Worth, TX, 76104-7617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134443765
Provider Name
Ut Southwestern Moncrief Cancer Center
Credential
Provider Entity Type
Organization
Address
400 W Magnolia Ave, Fort Worth, TX, 76104-7617
Phone Number
817-288-9800
Fax Number
Provider Enumeration Date
03/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109397302 05 TX
institution
Provider Business Practice Location Address Details
Address
400 W Magnolia Ave
City
Fort Worth
State
Texas
Zip
76104-7617
Phone Number
817-288-9800
Fax Number
person
Provider Business Mailing Address Details
Address
400 W Magnolia Ave
City
Fort Worth
State
Texas
Zip
76104-7617
Phone Number
817-288-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G7980 (Texas)
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).
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