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1548896749
ERIC BASH
FORT WORTH, TX
NPI
1548896749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA13868)
Enumeration Date
2020-03-19
Last Update Date
2023-09-14
Business Address
ERIC BASH PA-C
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3431
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Mailing Address
ERIC BASH PA-C
200 W MAGNOLIA AVE STE 201
FORT WORTH, TX 76104-7657
Phone number: 469-583-0807
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