# ANESIA K. GARMON, DO PA

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

## Provider details

- **NPI number:** 1689955767
- **Authorized official:** MRS. ANESIA KHVOROFF GARMON DO (PRESIDENT)
- **Authorized official phone:** (817) 341-7626

## Contact information

- **Practice address:** 902 FOSTER LN, WEATHERFORD, TX 76086-5714
- **Practice address phone:** (817) 341-7626
- **Practice address fax:** (817) 596-9771
- **Mailing address:** 902 FOSTER LN, WEATHERFORD, TX 76086-5714
- **Mailing address phone:** (817) 341-7626
- **Mailing address fax:** (817) 596-9771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E3278 | TX | Yes |

## Other

- **Enumeration date:** 09/02/2011
- **Last updated:** 09/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 033831101 | — | TX |
