Individual
KIMBERLY LATOYA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 560, FORT WORTH, TX 76104-2152
(817) 250-7240
(888) 977-1985
Mailing address
1325 PENNSYLVANIA AVE STE 560, FORT WORTH, TX 76104-2152
(817) 250-7240
(888) 977-1985
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
P9131
TX
208600000X
Surgery Physician
MD198047
OR
208600000X
Surgery Physician
Primary
P9131
TX
Other
Enumeration date
04/24/2009
Last updated
10/25/2022
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