Individual
DR. CECILIA PRIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 921-3431
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 921-3431
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
J7140
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
J7140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126602507
—
TX
Enumeration date
07/20/2006
Last updated
03/16/2021
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