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Individual

OSCAR F FIMBRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4054
(682) 885-7497
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
451513
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10033788
AMERIGROUP PIN
TX
05
109806307
TX
01
109806308
CSHCN
TX
01
1447220850
GRP NPI NUMBER
01
1900008
UHC PIN
TX
Enumeration date
12/12/2006
Last updated
04/04/2012
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