Individual
ABBY BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 WESLEYAN ST, FORT WORTH, TX 76105-1536
(817) 531-4406
Mailing address
1201 WESLEYAN ST, FORT WORTH, TX 76105-1536
(817) 531-4406
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6530
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/16/2019
Last updated
01/05/2021
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