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1851711030
MARY KAY BISHOP
FORT WORTH, TX
NPI
1851711030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02864)
Enumeration Date
2014-04-25
Last Update Date
2014-04-25
Business Address
MARY KAY BISHOP PA-C
6304 PAMLICO RD
FORT WORTH, TX 76116-1631
Phone number: 214-808-2083
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Mailing Address
MARY KAY BISHOP PA-C
6304 PAMLICO RD
FORT WORTH, TX 76116-1631
Phone number: 214-808-2083
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