Individual
ANDREA REGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 ALABAMA AVE, FORT WORTH, TX 76104-1022
(817) 820-3454
Mailing address
425 ALABAMA AVE, FORT WORTH, TX 76104-1022
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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