PARKHILL IMAGING CLEARFORK LLC


Address: 5656 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109-4136
Phone: 9723389760

PARKHILL IMAGING CLEARFORK LLC (NPI# 1396362836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396362836
Entity Type Organization
Organization Name PARKHILL IMAGING CLEARFORK LLC
Practice Address 5656 Edwards Ranch Rd Ste 100
Fort Worth
TX 76109-4136
Mailing Address 3206 4th St
Longview
TX 75605-5143
Practice Telephone 9723389760
Practice Fax Number 9723389762
Mailing Telephone 9036634800
Mailing Fax Number 9036639018
Enumeration Date 2020-07-01
Last Update Date 2020-07-01
Authorized Official Name GLEN R. WYANT (PRESIDENT)
Authorized Official Telephone 9723389760
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 5656 EDWARDS RANCH RD STE 100
City FORT WORTH
State TX
Zip Code 76109-4136

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1881156164 Elizabeth Laborde Dds Pllc Clinic/Center 5656 Edwards Ranch Rd, Fort Worth, TX 76109 2019-04-04
1992273965 Debra Cooper Lantz Occupational Therapist 4252 Bryant Irvin Road, Fort Worth, TX 76109 2018-11-08
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1174910111 Parkway Dental Professionals Preferred Provider Organization 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 2015-04-16
1831583095 Deborah K Lehmann, M.d. Clinic/Center 6420 Southwest Blvd., #128, Fort Worth, TX 76109 2015-03-26
1184036428 Ft Worth Ranch Assist, LLC Neurological Surgery 3516 Ranch View Terrace, Fort Worth, TX 76109 2014-05-21
1821435538 Metx LLC Hearing Instrument Specialist 4618 Sw Loop 820, Fort Worth, TX 76109 2013-06-04
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1871788224 Ramic Fort Worth, LLC Clinic/Center 750 12th Ave Ste 100, Fort Worth, TX 76104-2531 2007-09-10
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1942424452 Ged Medical Management Inc Clinic/Center 2001 Cooper Street, Fort Worth, TX 76104 2007-04-13
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Competitor

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City FORT WORTH
Zip Code 76109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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