Individual
ASHLY DAWN FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
(817) 927-3603
Mailing address
6306 RINCON WAY, DALLAS, TX 75214-2039
(682) 560-0809
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139424
TX
Other
Enumeration date
11/14/2018
Last updated
02/25/2019
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