# CAROLYN W. QUIST, DO, PA

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

## Provider details

- **NPI number:** 1942500913
- **Authorized official:** DR. CAROLYN W QUIST D.O. (PRESIDENT)
- **Authorized official phone:** (817) 926-1313

## Contact information

- **Practice address:** 1425 8TH AVENUE, SUITE 101, FORT WORTH, TX 76104-4137
- **Practice address phone:** (817) 926-1313
- **Practice address fax:** (817) 926-7434
- **Mailing address:** 1425 8TH AVENUE, FORT WORTH, TX 76104-4137
- **Mailing address phone:** (817) 926-1313
- **Mailing address fax:** (817) 926-7434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | H2705 | TX | Yes |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 03/25/2011