Individual
DR. ASHLEIGH MARIE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104-2133
(817) 761-7740
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD185405
OR
2086S0102X
Surgical Critical Care Physician
Primary
T3773
TX
2086S0127X
Trauma Surgery Physician
2016-01308
NC
Other
Enumeration date
05/31/2010
Last updated
09/07/2023
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