# FUSION WOMEN'S HEALTH AND WELLNESS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548537038
- **Authorized official:** DR. LISA L GARDNER D.O. (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (806) 468-4317

## Contact information

- **Practice address:** 7250 HAWKINS VIEW DR, SUITE 411, FORT WORTH, TX 76132-3920
- **Practice address phone:** (806) 468-4317
- **Mailing address:** PO BOX 164698, FT WORTH, TX 76161-4698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 34-007697 | TX | Yes |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 04/12/2012