Individual
KASSI ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-7942
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
MD2021-0609
NM
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
T5069
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2015
Last updated
02/24/2022
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