Individual
MRS. AMBER LANE EASTWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10864 TEXAS HEALTH TRL, FORT WORTH, TX 76244-4897
(972) 948-5927
Mailing address
4025 APPLEYARD DR, FORT WORTH, TX 76137-1272
(972) 948-5927
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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