Individual
ALISHA ANCRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 INDUSTRIAL BLVD STE 210, MANSFIELD, TX 76063-2206
(833) 268-9722
Mailing address
400 INDUSTRIAL BLVD STE 210, MANSFIELD, TX 76063-2206
(833) 268-9722
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
0000000
TX
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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