Individual
AUDRA CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2405 W DREW ST, FORT WORTH, TX 76110-5915
(817) 733-2608
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08512
TX
Other
Enumeration date
04/01/2013
Last updated
05/26/2026
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