Dwain R Faso

NPI #1801155890 in Addison, Texas

Provider Information

NPI Number
1801155890
Entity Type
Individual
Name
Dwain R Faso
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Orthotist
Enumeration Date
May 10, 2012
Last Updated
May 10, 2012

Practice Location

Address
15301 SPECTRUM DR
Address 2
SUITE # 175
State
Texas
ZIP Code
75001-4665
Phone
(972) 980-9660

Specialties & Taxonomy Codes

Specialty
Orthotist

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