Individual
MS. HANNAH LACHELLE BEREUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
1250 8TH AVE STE 575, FORT WORTH, TX 76104-4160
(682) 200-8580
(682) 200-8581
Mailing address
1250 8TH AVE STE 575, FORT WORTH, TX 76104-4160
(682) 200-8580
(682) 200-8581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09857
TX
Other
Enumeration date
07/21/2015
Last updated
01/22/2020
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