Individual
GAVIN F FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4054
(682) 885-7497
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
L8687
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
L8687
TX
207LP3000X
Pediatric Anesthesiology Physician
L8687
TX
Other
Enumeration date
08/30/2006
Last updated
04/22/2021
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