Individual
MRS. INNA MATVEYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 ENOCH DR, FORT WORTH, TX 76112-4437
(319) 383-4626
Mailing address
1701 ENOCH DR, FORT WORTH, TX 76112-4437
(319) 383-4626
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99584
TX
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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