| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1760542229 | DEVILLENEUVE | ALLAN | R | P.O. BOX 961205 | FORT WORTH | TX | 761611205 | |
| 1316007883 | EVANS | CAROLYN | A. | P.O. BOX 961205 | FORT WORTH | TX | 761611205 | |
| 1336678127 | RAY | CONSTANCE | NICHOLS | P.O. BOX 961205 | FORT WORTH | TX | 761611205 |