Individual
BRENDA LOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 882-2000
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H5785
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092BP
BCBS
TX
05
—
135015905
—
TX
Enumeration date
06/01/2006
Last updated
02/11/2008
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