| The Gift Enterprises | |
|
7525 John T White Rd Fort Worth TX 76120-3311 | |
| (817) 338-9553 | |
| Not Available |
| Full Name | The Gift Enterprises |
|---|---|
| Speciality | Social Worker |
| Location | 7525 John T White Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Dennis R Miller (OWNER) |
| Authorized Official Contact | 8173389553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Gift Enterprises Po Box 1953 Arlington TX 76004-1953 Ph: () - | The Gift Enterprises 7525 John T White Rd Fort Worth TX 76120-3311 Ph: (817) 338-9553 |
| NPI Number | 1063879161 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 04/29/2016 |
| Medicare PECOS PAC ID | 7416246517 |
|---|---|
| Medicare Enrollment ID | O20160512001526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063879161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dennis R Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932308962 PECOS PAC ID: 9436289691 Enrollment ID: I20100615000050 |
| Provider Name | James M Hyden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760561781 PECOS PAC ID: 6608052576 Enrollment ID: I20110511000349 |
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