Individual
DR. ANN BALLWEG FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2925 E BROAD ST, MANSFIELD, TX 76063-9184
(817) 477-0223
(817) 277-9086
Mailing address
6520 JOSEPHINE DR, ARLINGTON, TX 76017-4979
(817) 563-0022
(817) 473-0013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06298TG
TX
Other
Enumeration date
03/28/2006
Last updated
05/04/2020
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