Individual
MRS. DENA RAE GEBRIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 S MAIN ST FL 3, FORT WORTH, TX 76104-4917
(817) 702-6828
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-4673
(972) 669-7194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09876
TX
363AM0700X
Medical Physician Assistant
—
TX
Other
Enumeration date
06/26/2015
Last updated
11/10/2021
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