Individual
HALEY S. DIATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1622 8TH AVE STE 110, FORT WORTH, TX 76104-4155
(817) 926-2571
(817) 921-3708
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 921-3708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08508
TX
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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