PETER FAULK

FORT WORTH, TX
NPI1649965484
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  1114862)
Enumeration Date2023-04-07
Last Update Date2023-04-07
Business Address
Mr. PETER FAULK
4649 MOUNTAIN OAK ST
FORT WORTH, TX 76244-4397
Phone number: 209-287-4673
Mailing Address
Mr. PETER FAULK
4649 MOUNTAIN OAK ST
FORT WORTH, TX 76244-4397
Phone number: 209-287-4673
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