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Gerontology Nurse Practitioner
NPI: 1538529524IndividualAccepts Medicare
Specialties, Licenses & Credentials
Gerontology Nurse PractitionerPrimary
Nurse Practitioner — Gerontology
Code: 363LG0600X
AG0216149(TX)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Class of 2015
Contact & Hours
- Address
- 1305 W MAGNOLIA AVE, SUITE B
FORT WORTH, TX 76104 - Phone
- (817) 522-1530
Quick Facts
- NPI
- 1538529524
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 11
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