MARY THERESA FANTAZIA

FORT CAVAZOS, TX
NPI1619704947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1170828)
Enumeration Date2024-09-19
Last Update Date2024-09-19
Business Address
MARY THERESA FANTAZIA DNP
590 MEDICAL CENTER ROAD
FORT CAVAZOS, TX 76544-5060
Phone number: 254-288-8000
Mailing Address
MARY THERESA FANTAZIA DNP
2706 W HUISACHE AVE
SAN ANTONIO, TX 78228-5003
Phone number: 260-624-4757