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1285282731
DEREK LEE WRZESINSKI
FORT WORTH, TX
NPI
1285282731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA13000)
Enumeration Date
2019-08-28
Last Update Date
2024-07-31
Business Address
DEREK LEE WRZESINSKI PA
4701 BOAT CLUB RD STE 200
FORT WORTH, TX 76135-5285
Phone number: 817-237-0515
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Mailing Address
DEREK LEE WRZESINSKI PA
4701 BOAT CLUB RD STE 200
FORT WORTH, TX 76135-5285
Phone number: 817-237-0515
Copy
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