BAYLEN CLINT BASTIBLE

FORT WORTH, TX
NPI1568401594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA04507)
Enumeration Date2006-06-05
Last Update Date2019-05-07
Business Address
BAYLEN CLINT BASTIBLE PA-C
6551 HARRIS PKWY SUITE 250
FORT WORTH, TX 76132-6103
Phone number: 817-263-6116
Mailing Address
BAYLEN CLINT BASTIBLE PA-C
PO BOX 100189
FORT WORTH, TX 76185-0189
Phone number: 817-731-0230
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