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Individual

CAROL ANN MAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
855 MONTGOMERY ST, DEPT OF OB/GYN, FORT WORTH, TX 76107-2553
(817) 735-2198
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
589453
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
326943302
TX
01
8790NS
BCBS
TX
Enumeration date
09/02/2013
Last updated
01/26/2016
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