Individual
MRS. FREDERRICA FOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2727 BOLTON BOONE DR STE 112, DESOTO, TX 75115-2019
(214) 884-7525
Mailing address
12 MISTY MESA CT, MANSFIELD, TX 76063-4813
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP145235
TX
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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