Individual
ANDREA PASIENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 HULEN ST, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76107-7277
(817) 569-4300
Mailing address
PO BOX 2603, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1144509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156558202
—
TX
01
—
87TT77
BCBS
TX
Enumeration date
06/26/2014
Last updated
11/12/2014
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