Individual
JOGINA GALLEGO TARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5701 BRYANT IRVIN RD STE 201, FORT WORTH, TX 76132-4026
(817) 263-2500
(817) 346-4006
Mailing address
5701 BRYANT IRVIN RD STE 201, FORT WORTH, TX 76132-4026
(817) 263-2500
(817) 346-4006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07621
TX
363AM0700X
Medical Physician Assistant
PA07621
TX
Other
Enumeration date
03/29/2012
Last updated
01/09/2015
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