Lisa Diane Fairweather in Ft. Worth - Psychiatry
Lisa Diane Fairweather - NPI 1720031404
Lisa Diane Fairweather is a Psychiatry in Ft. Worth, Texas. Lisa Diane Fairweather practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Lisa Diane Fairweather is 1720031404. The last update date is 2010-10-14.
Lisa Diane Fairweather's current location address is 5601 Bridge St., Ft. Worth, Texas. You can contact this provider via phone number 8174574646 and fax number 8174927135. The mailing address for Lisa Diane Fairweather is 5601 Bridge St., Ft. Worth, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa Diane Fairweather |
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Address | 5601 Bridge St., Ft. Worth, Texas |
Phone Number | 8174574646 |
Fax Number | 8174927135 |
Sole Proprietor | Y |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1720031404 |
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Provider Enumeration Date | 2006-05-17 |
Last Updated Date | 2010-10-14 |
Provider Mailing Address Detail
Address | 5601 Bridge St. |
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City | Ft. Worth |
State | Texas (TX) |
Post Code | 76112 |
Phone Number | 8174574646 |
Fax Number | 8174927135 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | L6256 |
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
175470702 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lisa Diane Fairweather by the Centers for Medicare & Medicaid Services?
The Lisa Diane Fairweather has been assigned the NPI (National Provider Identifier) 1720031404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Lisa Diane Fairweather's facilities are geographically located?
The facilities of Lisa Diane Fairweather are physically situated at the following location: 5601 Bridge St., Ft. Worth, TX, 76112.
What is the Lisa Diane Fairweather's specialty and taxonomy code?
The Lisa Diane Fairweather's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
When did Lisa Diane Fairweather receive its 1720031404 assignment?
The Lisa Diane Fairweather was assigned its 1720031404 on 2006-05-17, which is the date when this unique identifier was issued to the organization.
When was the information regarding Lisa Diane Fairweather, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Diane Fairweather, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-10-14.
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