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NPI Code Detail

MEDICARE: MARY A RATHER FNP-C

MEDICARE: MARY A RATHER FNP-C
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 PractitionerAP117624TX

General Provider Information

NPI Number : 1982842217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY A RATHER FNP-C
Provider Business Mailing Address
First Line : 5701 BRYANT IRVIN RD STE 201
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4026
Country : US
Telephone Number : 817-263-2500
Fax Number : 817-346-4006
Provider Business Practice Location Address
First Line : 5701 BRYANT IRVIN RD STE 201
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4026
Country : US
Telephone Number : 817-263-2500
Fax Number : 817-346-4006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2009
Last Update Date : 09/15/2015

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Directions to “ MARY A RATHER FNP-C” Practice Location

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