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Individual

ASHLEY ELIZABETH BOEHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1250 8TH AVE STE 430, FORT WORTH, TX 76104-4144
(817) 923-0022
Mailing address
2217 RIDGMAR BLVD APT 1211, FORT WORTH, TX 76116-2246
(903) 267-0805

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16803
TX

Other

Enumeration date
04/24/2023
Last updated
04/27/2023
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