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ANNA-ALICIA POOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2500
(682) 885-2510
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6163
(682) 885-3113

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1057922
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1057922
TX

Other

Enumeration date
09/28/2023
Last updated
02/05/2024
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