Fennec Surgical Assist, Pllc
NPI #1316607237 in Fort Worth, Texas
Provider Information
- NPI Number
- 1316607237
- Entity Type
- Organization
- Organization Name
- Fennec Surgical Assist, Pllc
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Dec 20, 2021
- Last Updated
- Mar 21, 2022
Practice Location
- Address
- 3160 N TARRANT PKWY STE 404
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76177-8631
- Phone
- (817) 200-3070
Authorized Official
- Name
- ROXANNA LAROQUE
- Title
- DIRECTOR OF CLIENT EXPERIENCE
- Phone
- (210) 598-2801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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