MISTY KAY WILDE FORTNER

LUBBOCK, TX
NPI1609152776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA07530)
Enumeration Date2011-11-02
Last Update Date2021-08-11
Business Address
MISTY KAY WILDE FORTNER PA-C
5424 19TH ST STE 300
LUBBOCK, TX 79407-2164
Phone number: 806-795-4391
Mailing Address
MISTY KAY WILDE FORTNER PA-C
5000 BRIARWOOD AVE
MIDLAND, TX 79707-2753
Phone number: 432-682-5385
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