KARRAH BLACK DE LA FUENTE

IRVING, TX
NPI1518389980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2014-01-20
Last Update Date2022-07-15
Business Address
KARRAH BLACK DE LA FUENTE PA
6161 N HIGHWAY 161
IRVING, TX 75038
Phone number: 972-258-7499
Mailing Address
KARRAH BLACK DE LA FUENTE PA
6161 N STATE HIGHWAY 161
IRVING, TX 75038-2220
Phone number: 972-258-7499
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