Provider Demographics
NPI:1083799209
Name:CHIRONET, L.L.C.
Entity Type:Organization
Organization Name:CHIRONET, L.L.C.
Other - Org Name:NATIONAL INTEGRATED HEALTHCARE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARTNITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-886-8890
Mailing Address - Street 1:3149 LACKLAND RD
Mailing Address - Street 2:#104
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-4109
Mailing Address - Country:US
Mailing Address - Phone:817-886-8890
Mailing Address - Fax:817-886-8891
Practice Address - Street 1:3149 LACKLAND RD
Practice Address - Street 2:#104
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-4109
Practice Address - Country:US
Practice Address - Phone:817-886-8890
Practice Address - Fax:817-886-8891
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHIRONET, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-26
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty