Organization
TRASIMENO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE PAVLAS (PA-C)
(210) 887-3272
Entity
Organization
Contact information
Practice address
9800 SINCLAIR ST, FORT WORTH, TX 76244-5890
(210) 887-3272
Mailing address
9800 SINCLAIR ST, FORT WORTH, TX 76244-5890
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA09170
TX
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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