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Andrea Washington Blackshear

NPI 1790523603 · on the registry since 2024 · sole proprietor

Practice

Address
10172 Deer Glen Trl
Fort Worth, TX 76140
Phone
(817) 999-3957

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-16

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