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NPI 1215804372 · on the registry since 2025
Practice
- Address
- 801 7th Ave
Fort Worth, TX 76104 - Phone
- (682) 885-1475
- Fax
- (682) 885-7520
- Organisation at this address
- Cook Children'S Medical Center
Cook Children'S Medical Center
Cook Children'S Medical Center
Cook Children'S Physician Network
Cook Children'S Physician NetworkInferred from a shared address, not stated in the registry. - Clinicians at this address
- 549
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas