Individual
CATHERINE COTTLE BASMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7020 DEER RIDGE DR, FORT WORTH, TX 76137-4714
(903) 360-1064
Mailing address
7020 DEER RIDGE DR, FORT WORTH, TX 76137-4714
(903) 360-1064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1087022
TX
163WP2201X
Ambulatory Care Registered Nurse
793526
TX
363LF0000X
Family Nurse Practitioner
Primary
1087022
TX
Other
Enumeration date
07/14/2021
Last updated
05/10/2023
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