363LA2100X
Fort Worth, TX
Specialty
363LA2100X
Credential
APRN
NPI
1952052680
909 9th Ave, Fort Worth, TX 76104
(817) 336-6060Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X
Medical Plaza Ambulatory Surgery Center Associates Lp
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