Provider Information for 1730660374
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LISA ALFARO WILLIAMS MA
Sex: Female
NPI: 1730660374
Last Updated: 2018-08-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1730660374 | ||||||||
| Enumeration Date | 2018-08-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3840 HULEN ST FORT WORTH, TX 76107-7277 United States Phone: 817-569-4300 | Fax: | ||||||||
| Primary Practice Address | 3120, 22, 24 S.E. LOOP 820 FORT WORTH, TX 76119 United States Phone: 817-335-3022 | Fax: | ||||||||
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