LISA M BASHORE

FORT WORTH, TX
NPI1750522397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: TX  673778)
Enumeration Date2009-03-11
Last Update Date2021-05-10
Business Address
LISA M BASHORE PNP
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-4007
Mailing Address
LISA M BASHORE PNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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