MR. Darrell Wayne Worthem SR., LSA

NPI #1922625920 in Ft Worth, Texas

Provider Information

NPI Number
1922625920
Entity Type
Individual
Name
MR. Darrell Wayne Worthem SR., LSA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
LSA
Enumeration Date
Jun 25, 2020
Last Updated
Jun 25, 2020

Practice Location

Address
801 W SEVENTH ST
State
Texas
ZIP Code
76102-3510
Phone
(682) 885-4105

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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