Individual
CARLA KALOUSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1650 S BEACH ST, FORT WORTH, TX 76105-2209
(817) 702-6500
(817) 920-6632
Mailing address
4728 MCBREYER PL, FORT WORTH, TX 76244-6081
(817) 915-1647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
767121
TX
363LF0000X
Family Nurse Practitioner
Primary
AP125371
TX
Other
Enumeration date
03/25/2014
Last updated
07/28/2021
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