Individual
ASHLEY ANNE TRABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4819 RIVER OAKS, FORT WORTH, TX 76114
(817) 713-4048
Mailing address
4819 RIVER OAKS, RIVER OAKS, TX 76114
(817) 626-9744
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB123156
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
TX
Enumeration date
03/29/2011
Last updated
06/06/2017
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