Individual
BREANNA LIZETTE AGUILAR ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2966 PARK HILL DR, FORT WORTH, TX 76109-1143
(214) 453-4533
Mailing address
6005 VALLEY VIEW DR APT B, FORT WORTH, TX 76116-8292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19030
TX
Other
Enumeration date
12/13/2023
Last updated
05/06/2025
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