Kelli Anne Besancon in Fort Worth - Orthopedic
Kelli Anne Besancon - NPI 1760638084
Kelli Anne Besancon is a Orthopedic in Fort Worth, Texas. Kelli Anne Besancon practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Kelli Anne Besancon is 1760638084. The last update date is 2014-01-30.
Kelli Anne Besancon's current location address is 11751 Alta Vista Rd, Fort Worth, Texas. You can contact this provider via phone number 8174314242. The mailing address for Kelli Anne Besancon is 11751 Alta Vista Rd, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli Anne Besancon |
|---|---|
| Address | 11751 Alta Vista Rd, Fort Worth, Texas |
| Phone Number | 8174314242 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1760638084 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2014-01-30 |
Provider Mailing Address Detail
| Address | 11751 Alta Vista Rd |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 762446441 |
| Phone Number | 8174314242 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 1204970 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique 10-digit identifier code assigned to Kelli Anne Besancon by the Centers for Medicare & Medicaid Services?
The Kelli Anne Besancon has been issued the NPI (National Provider Identifier) 1760638084 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kelli Anne Besancon's facilities are situated?
The facilities of Kelli Anne Besancon are physically located at the following address: 11751 Alta Vista Rd, Fort Worth, TX, 762446441.
What is the Kelli Anne Besancon's specialty and taxonomy code?
The Kelli Anne Besancon's specialty is Orthopedic, and the corresponding taxonomy code is 2251X0800X.
On what date was the 1760638084 assigned to Kelli Anne Besancon?
The Kelli Anne Besancon was issued its 1760638084 on 2008-08-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kelli Anne Besancon's information last updated?
The Kelli Anne Besancon's information was last updated on 2014-01-30.