Organization
ANESIA K. GARMON, DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANESIA KHVOROFF GARMON DO (PRESIDENT)
(817) 341-7626
Entity
Organization
Contact information
Practice address
902 FOSTER LN, WEATHERFORD, TX 76086-5714
(817) 341-7626
(817) 596-9771
Mailing address
902 FOSTER LN, WEATHERFORD, TX 76086-5714
(817) 341-7626
(817) 596-9771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033831101
—
TX
Enumeration date
09/02/2011
Last updated
09/02/2011
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