Individual
LISSA ANNE GOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM
Contact information
Practice address
622 HEMPHILL ST, FORT WORTH, TX 76104-3179
(817) 878-2737
Mailing address
622 HEMPHILL ST, FORT WORTH, TX 76104-3179
(817) 878-2737
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP126186
TX
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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