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Individual

DR. KATHERINE ANN GHANAYEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4400 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-8901
(701) 471-9606
Mailing address
9445 N BEACH ST, FORT WORTH, TX 76244-9059
(701) 471-9606

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q0952
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/18/2008
Last updated
04/26/2022
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