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AMERICA E MCGUFFEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
855 MONTGOMERY, FORT WORTH, TX 76107-2553
(817) 735-2000
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06900
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280589701
TX
01
844N82
BCBS
TX
Enumeration date
08/05/2010
Last updated
08/10/2011
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