MEDICARE: DR. ALISON PASCIUCCO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	R3575	TX

General Provider Information

NPI Number	:	1508201971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALISON PASCIUCCO MD

Provider Business Mailing Address
First Line	:	1000 W CANNON ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3029
Country	:	US
Telephone Number	:	817-725-7900
Fax Number	:	628-207-1030

Provider Business Practice Location Address
First Line	:	1307 8TH AVE STE 403
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4143
Country	:	US
Telephone Number	:	682-207-1375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2013
Last Update Date	:	04/02/2025

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