Individual
PIERRETTE TOUSSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PO BOX 27066, FORT WORTH, TX 76127-0066
(817) 782-4000
Mailing address
1614 BIRCH ST, MANSFIELD, TX 76063-4467
(954) 446-4295
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19004
PR
208D00000X
General Practice Physician
3062
MN
208D00000X
General Practice Physician
TPME7027
FL
208D00000X
General Practice Physician
TW-00564
KS
Other
Enumeration date
06/19/2014
Last updated
08/14/2024
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