Individual
EGLE BAVRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10900 FOUNDERS WAY STE 101, FORT WORTH, TX 76244-5428
(817) 442-9300
Mailing address
10900 FOUNDERS WAY STE 101, FORT WORTH, TX 76244-5428
(817) 442-9300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34924
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
34924
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
35086774
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
S5119
TX
Other
Enumeration date
03/09/2006
Last updated
03/09/2022
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