| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1386967602 | LEVINE | MARY | ANN | P.O. BOX 961205 | FORT WORTH | TX | 761611205 | |
| 1720031552 | LILLI | ROBERT | HARRY | PO BOX 961205 | FORT WORTH | TX | 761611205 | |
| 1679598346 | MATZNER | JANICE | A. | PO BOX 961205 | FORT WORTH | TX | 761611205 | |
| 1447264908 | STANILAND | JOHN | E | PO BOX 961205 | FORT WORTH | TX | 761611205 |