Individual
JOAN L ABERNETHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6551 HARRIS PKWY, SUITE 200, FORT WORTH, TX 76132-6103
(817) 423-1800
(817) 510-0964
Mailing address
6551 HARRIS PKWY, SUITE 200, FORT WORTH, TX 76132-6103
(817) 423-1800
(817) 510-0964
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K5322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170396902
—
TX
05
—
170396903
—
TX
05
—
170396908
—
TX
Enumeration date
06/28/2005
Last updated
05/31/2013
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