Individual
DR. AUDRA LEIGH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9604 TEN GALLON DR, FORT WORTH, TX 76123-2186
(817) 803-4362
Mailing address
3011 RANCHO CT, FORT WORTH, TX 76244-4857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41611
TX
Other
Enumeration date
04/04/2023
Last updated
07/31/2025
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