Organization
ALTABO FIRST ASSIST
Active
Other names
Joan Bohan RNFA
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY JOAN BOHAN RNFA (PRESIDENT)
(214) 912-9931
Entity
Organization
Contact information
Practice address
3947 STOCKTON LN, DALLAS, TX 75287-4921
(214) 912-9931
(972) 862-2507
Mailing address
3947 STOCKTON LN, DALLAS, TX 75287-4921
(214) 912-9931
(972) 862-2507
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN451277
—
Other
Enumeration date
11/20/2006
Last updated
09/02/2015
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