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NPI Code Detail

MEDICARE: DR. MARY FRANCES ABRAHAM LYNCH M.D.

MEDICARE: DR. MARY FRANCES ABRAHAM LYNCH M.D.
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
12080N0001XNeonatal-Perinatal Medicine PhysicianL4049TX

General Provider Information

NPI Number : 1912904061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY FRANCES ABRAHAM LYNCH M.D.
Provider Business Mailing Address
First Line : 4109 GALT AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4708
Country : US
Telephone Number : 817-924-5060
Fax Number : 817-924-5060
Provider Business Practice Location Address
First Line : 1301 PENNSYLVANIA AVE
Second Line : NEONATOLOGY OFFICES, PEDIATRIX MEDICAL GROUP OF TEXAS
City : FORT WORTH
State : TX
Zip : 76104-2122
Country : US
Telephone Number : 817-250-2892
Fax Number : 817-250-5335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 07/08/2007

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