Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 15697 | HI |
N | 208000000X | Pediatrician | MD452522 | PA |
N | 208000000X | Pediatrician | Q0915 | TX |
Y | 208D00000X | General Practice Physician | Q0915 | TX |
NPI | 1043474091 |
---|---|
Provider Name | Dr. Naima Garrett |
First Address | Fort Worth, TX 76132-3051 |
Second Address | Fort Worth, TX 76109-4910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2008 |
Last Update Date | 07/02/2022 |