Individual
DR. KATIE NICOLE FINNERTY STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
1201 SUMMIT AVE, FORT WORTH, TX 76102-4413
(817) 332-2020
(817) 332-4797
Mailing address
1201 SUMMIT AVE, FORT WORTH, TX 76102-4413
(817) 332-2020
(817) 332-4797
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
P5627
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296185YUPB
MEDICARE PTAN
—
01
—
296185ZHSF
MEDICARE PTAN
TX
Enumeration date
08/08/2009
Last updated
11/22/2021
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