Thomas Elden Deporter in Fort Worth - Psychiatry
Thomas Elden Deporter - NPI 1174651004
Thomas Elden Deporter is a Psychiatry in Fort Worth, Texas. Thomas Elden Deporter practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Thomas Elden Deporter is 1174651004. The last update date is 2007-07-08.
Thomas Elden Deporter's current location address is 6300 Ridglea Pl Ste 415, Fort Worth, Texas. You can contact this provider via phone number 8173771333 and fax number 8173770420. The mailing address for Thomas Elden Deporter is 6300 Ridglea Pl Ste 415, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Elden Deporter |
|---|---|
| Address | 6300 Ridglea Pl Ste 415, Fort Worth, Texas |
| Phone Number | 8173771333 |
| Fax Number | 8173770420 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174651004 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6300 Ridglea Pl Ste 415 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761165706 |
| Phone Number | 8173771333 |
| Fax Number | 8173770420 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | H9063 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identifier code assigned to Thomas Elden Deporter by the Centers for Medicare & Medicaid Services?
The Thomas Elden Deporter has been issued the NPI (National Provider Identifier) 1174651004 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Thomas Elden Deporter is physically located?
The Thomas Elden Deporter is physically situated at the following address: 6300 Ridglea Pl Ste 415, Fort Worth, TX, 761165706.
What is Thomas Elden Deporter's area of expertise and its corresponding taxonomy classification?
The Thomas Elden Deporter's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1174651004 to Thomas Elden Deporter?
The Centers for Medicare & Medicaid Services assigned the 1174651004 to Thomas Elden Deporter on 2007-03-01.
As of what date were the Thomas Elden Deporter's details last updated?
The information pertaining to the Thomas Elden Deporter, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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