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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEVERLY DIANE ELLIS

Active Organization

BEVERLY DIANE ELLIS is a Emotionally Disturbed Children Residential Treatment organization located in FORT WORTH, Texas. NPI 1639316912 is currently active in the NPPES registry. Verify at CMS.

Emotionally Disturbed Children Residential Treatment · FORT WORTH, TX

Registration Details

NPI Number
1639316912
Provider Type
Organization
NPI Issued
Jan 8, 2009 (17.412799730526 yrs)
Last Updated
Jan 8, 2009

Practice Information

Address
420 TIERNEY RD
FORT WORTH, TX, 761126324
Browse TX providers · Browse ZIP 76112
Phone
8175345480
Fax
8175344748
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.