Individual
DR. TEASHA-LEE ANN FRATTARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1300 W LANCASTER AVE, 205, FORT WORTH, TX 76102-3410
(817) 336-8611
(817) 390-2981
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34. 009726
OH
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
P4569
TX
Other
Enumeration date
09/07/2007
Last updated
05/18/2021
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