Individual
ERIC BASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(469) 583-0807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13868
TX
Other
Enumeration date
03/19/2020
Last updated
09/14/2023
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