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Petya Taskov
Family Nurse Practitioner in Fort Worth, Texas
NPI 1609257534

Petya Taskov is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Petya Taskov practices in Fort Worth, TX. The NPI Number for Petya Taskov is 1609257534 and holds a License No. AP 128272 (Texas).

The current practice location address for Petya Taskov is 1325 Pennsylvania Ave Ste 890, Fort Worth, TX and can be reached out via phone at 817-250-7230.

Location: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX, 76104-4709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609257534
Provider Name
Petya Taskov
Credential
Provider Entity Type
Individual
Gender
Female
Address
1325 Pennsylvania Ave Ste 890, Fort Worth, TX, 76104-4709
Phone Number
817-250-7230
Fax Number
Provider Enumeration Date
06/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1325 Pennsylvania Ave Ste 890
City
Fort Worth
State
Texas
Zip
76104-2145
Phone Number
817-250-7230
Fax Number
person
Provider Business Mailing Address Details
Address
1325 Pennsylvania Ave Ste 890
City
Fort Worth
State
Texas
Zip
76104-2145
Phone Number
817-250-7230
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP 128272 (Texas)
Definition
Definition to come...
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