DARRELL WAYNE WORTHEM

FT WORTH, TX
NPI1922625920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: TX  SA00816)
Enumeration Date2020-06-25
Last Update Date2020-06-25
Business Address
Mr. DARRELL WAYNE WORTHEM LSA
801 W SEVENTH ST
FT WORTH, TX 76102-3510
Phone number: 682-885-4105
Mailing Address
Mr. DARRELL WAYNE WORTHEM LSA
3500 DANIEL DR
ARLINGTON, TX 76014-3335
Phone number: 817-901-0943