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1790702306
ELIZABETH A TRACEY WEAVER
FORT WORTH, TX
NPI
1790702306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 569928)
Enumeration Date
2006-07-17
Last Update Date
2010-03-17
Business Address
-- ELIZABETH A TRACEY WEAVER WHNP
1250 8TH AVENUE SUITE 330
FORT WORTH, TX 76104
Phone number: 817-923-5559
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Mailing Address
-- ELIZABETH A TRACEY WEAVER WHNP
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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