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Individual

MARY ANN SKIBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
Mailing address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
G9662
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1283509-06
TX
05
1283509-07
TX
Enumeration date
05/12/2006
Last updated
02/06/2025
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