Individual
ASHLEY IRIS PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
1000 NINTH AVENUE, SUITE C, FORT WORTH, TX 76104-3906
(817) 332-3039
(817) 332-6902
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 332-6902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
713224
TX
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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