Clara Formusoh, NP
NPI #1023406576 in Fort Worth, Texas
Provider Information
- NPI Number
- 1023406576
- Entity Type
- Individual
- Name
- Clara Formusoh, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Jan 7, 2015
- Last Updated
- Feb 17, 2016
Practice Location
- Address
- 1300 W TERRELL AVE STE K230
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-2820
- Phone
- (817) 250-4906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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