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Individual

BRANDI FAGAN GOSDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
800 5TH AVE, SUITE 300, FORT WORTH, TX 76104-7300
(817) 334-1400
(817) 878-5217
Mailing address
9003 AIRPORT FWY, SUITE 300, NORTH RICHLAND HILLS, TX 76180-7770
(817) 514-5200
(817) 514-5210

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PENDING
TX

Other

Enumeration date
03/23/2007
Last updated
07/08/2007
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