Individual
BARBARA DALASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
6100 HARRIS PKWY, FORT WORTH, TX 76132-4101
(817) 346-6565
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
(817) 294-7172
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
536808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
536808
RN LICENSE
TX
Enumeration date
03/10/2008
Last updated
03/10/2008
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