Individual
LILY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
4115 CUMBERLAND PASS APT 721, FORT WORTH, TX 76116-0750
(830) 998-4358
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP136575
TX
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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