DR. Ann Ballweg Fontenot, O.D.

NPI #1144280546 in Mansfield, Texas

Provider Information

NPI Number: 1144280546
Entity Type: Individual
Name: DR. Ann Ballweg Fontenot, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Mar 28, 2006
Last Updated: May 4, 2020

Practice Location

Address: 2925 E BROAD ST
City: Mansfield
State: Texas
ZIP Code: 76063-9184
Phone: (817) 477-0223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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