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Individual

DR. KATHERINE MOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4631 S HULEN ST, FORT WORTH, TX 76132-1401
(817) 346-7077
(817) 916-5349
Mailing address
4631 S HULEN ST, FORT WORTH, TX 76132-1401
(817) 346-7077
(817) 916-5349

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
12775 TPA
CA
152W00000X
Optometrist
Primary
6495TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TXB127618
MEDICARE ID
TX
Enumeration date
05/11/2006
Last updated
09/27/2012
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