LANCE A. WILKS

FORT WORTH, TX
NPI1992985998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  698485)
Enumeration Date2007-11-07
Last Update Date2009-10-12
Business Address
-- LANCE A. WILKS CRNA
4916 OVERTON PLZ
FORT WORTH, TX 76109-4415
Phone number: 817-334-0530
Mailing Address
-- LANCE A. WILKS CRNA
4916 OVERTON PLZ
FORT WORTH, TX 76109-4415
Phone number: 817-334-0530
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