Elizabeth Marie Fata, PA-C

NPI #1396502068 in Bedford, Texas

Provider Information

NPI Number: 1396502068
Entity Type: Individual
Name: Elizabeth Marie Fata, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 29, 2024
Last Updated: Apr 24, 2024

Practice Location

Address: 1701 PARK PLACE AVE
City: Bedford
State: Texas
ZIP Code: 76022-6033
Phone: (817) 540-1157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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