Organization · NPI-2

Baylor All Saints Medical Center

Nurse Practitioner · Fort Worth, TX

NPI number1790298388

StatusActive

Last updated in NPPESNov 6, 2017

Details

NPI: 1790298388
Entity type: Organization (NPI-2)
Legal business name: Baylor All Saints Medical Center
Organization subpart: Yes
Enumeration date: Nov 6, 2017
Last updated: Nov 6, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363L00000X	Nurse Practitioner	–	–	Yes
363A00000X	Physician Assistant	–	–
364S00000X	Clinical Nurse Specialist	–	–

Other names

Bas House Providers (Other Name)

Practice location

1400 8th Ave
Fort Worth, TX 76104-4110

Phone 817-922-1535 · Fax 817-927-6226

Mailing address

1400 8th Ave
Fort Worth, TX 76104-4110

Phone 817-922-1535 · Fax 817-927-6226

Authorized official

Lucy Catala
Vp Of Finance, West Region Cfo
8179221957

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.