KEELEY DIANE LANTRIP

FORT WORTH, TX
NPI1811524945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA13694)
Enumeration Date2020-03-26
Last Update Date2024-03-25
Business Address
KEELEY DIANE LANTRIP
1500 S MAIN ST
FORT WORTH, TX 76104-4941
Phone number: 817-321-0404
Mailing Address
KEELEY DIANE LANTRIP
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0404
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