Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP138513 | TX |
NPI | 1073082533 |
---|---|
Provider Name | Abiena Cash |
First Address | Fort Worth, TX 76119-5863 |
Second Address | Fort Worth, TX 76119-5863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2018 |
Last Update Date | 26/12/2019 |