Individual
BEATRICE KATE BANGLESDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-3817
(682) 885-3825
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1016229
TX
Other
Enumeration date
10/11/2021
Last updated
05/06/2022
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