person
Clara Formusoh, NP
Family Nurse Practitioner in Fort Worth, Texas
NPI 1023406576

Clara Formusoh is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Clara Formusoh practices in Fort Worth, TX and has the professional credentials of NP. The NPI Number for Clara Formusoh is 1023406576 and holds a License No. AP127181 (Texas).

The current practice location address for Clara Formusoh is 1300 W Terrell Ave Ste K230, Fort Worth, TX and can be reached out via phone at 817-250-4906 and via fax at 817-250-1815.

Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX, 76104-2820
person
Provider Profile Details
NPI Number
1023406576
Provider Name
Clara Formusoh
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1300 W Terrell Ave Ste K230, Fort Worth, TX, 76104-2820
Phone Number
817-250-4906
Fax Number
817-250-1815
Provider Enumeration Date
01/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
343075301 05 TX
institution
Provider Business Practice Location Address Details
Address
1300 W Terrell Ave Ste K230
City
State
Zip
76104-2820
Phone Number
817-250-4906
Fax Number
817-250-1815
person
Provider Business Mailing Address Details
Address
1300 W Terrell Ave Ste K230
City
State
Zip
76104-2820
Phone Number
817-250-4906
Fax Number
817-250-1815
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP127181 (Texas)
Definition
Definition to come...
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