Healthcare Provider Details

I. General information

NPI: 1073095709
Provider Name (Legal Business Name): FRANCES BARBARA DUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 08/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 GRANBURY ST
CLEBURNE TX
76033-7460
US

IV. Provider business mailing address

2121 AVENUE J STE 103
ARLINGTON TX
76006-5887
US

V. Phone/Fax

Practice location:
  • Phone: 817-645-9134
  • Fax: 817-641-4662
Mailing address:
  • Phone: 877-503-4552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number208388
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: