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NPI Code Detail

MEDICARE: MARIA SYBIL GAGLIANO FNP

MEDICARE: MARIA SYBIL GAGLIANO FNP
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
1363LF0000XFamily Nurse PractitionerAP122739TX

General Provider Information

NPI Number : 1003160532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA SYBIL GAGLIANO FNP
Provider Business Mailing Address
First Line : 6000 BRYANT IRVIN RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4116
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6000 BRYANT IRVIN RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4116
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2012
Last Update Date : 10/16/2018

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