PHYLLIS A WAKELAND

FORT WORTH, TX
NPI1922204486
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  514228)
Enumeration Date2007-06-22
Last Update Date2016-08-31
Business Address
-- PHYLLIS A WAKELAND PNP
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-7960
Mailing Address
-- PHYLLIS A WAKELAND PNP
PO BOX 99371
FORT WORTH, TX 76199-0371
Phone number: 682-885-1855
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