person
Caitlin C. Oetken, PA-C
Medical Physician Assistant in Fort Worth, Texas
NPI 1912390253

Caitlin C. Oetken is a Medical Physician Assistant based in Fort Worth, TX and is specialized in Medical. Caitlin C. Oetken practices in Fort Worth, TX and has the professional credentials of PA-C. The NPI Number for Caitlin C. Oetken is 1912390253 and holds a License No. PA9108543 (Texas).

The current practice location address for Caitlin C. Oetken is 4601 Heritage Trace Pkwy, Fort Worth, TX and can be reached out via phone at 817-431-7985.

Location: 4601 Heritage Trace Pkwy, Fort Worth, TX, 76244-8905
person
Provider Profile Details
NPI Number
1912390253
Provider Name
Caitlin C. Oetken
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4601 Heritage Trace Pkwy, Fort Worth, TX, 76244-8905
Phone Number
817-431-7985
Fax Number
Provider Enumeration Date
03/11/2015
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014517600 05 FL
IC674Z 01 FL MCR
Y0R0Q 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
4601 Heritage Trace Pkwy
City
State
Zip
76244-8905
Phone Number
817-431-7985
Fax Number
person
Provider Business Mailing Address Details
Address
4601 Heritage Trace Pkwy
City
State
Zip
76244-8905
Phone Number
817-431-7985
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9108543 (Florida)
Definition
Definition to come...
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