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1821368770
TARA R BERTRAM
FORT WORTH, TX
NPI
1821368770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA07653)
Enumeration Date
2012-01-10
Last Update Date
2021-05-11
Business Address
TARA R BERTRAM PA-C
901 7TH AVE
FORT WORTH, TX 76104-2722
Phone number: 682-885-6850
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Mailing Address
TARA R BERTRAM PA-C
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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