MARY KAY BASS

FORT WORTH, TX
NPI1538240650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: TX  426139)
Enumeration Date2006-10-17
Last Update Date2011-09-26
Business Address
-- MARY KAY BASS NP
855 MONTGOMERY ST DEPT OF OB/GYN
FORT WORTH, TX 76107-2553
Phone number: 817-927-1065
Mailing Address
-- MARY KAY BASS NP
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number:
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