Wasson, Lori

Wasson, Lori is an individual health care provider with primary practice located at 1401 Pennsylvania Ave , Fort Worth TX 76104-2113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Wasson, Lori can be contacted via phone (713) 432-1100.

Contact Information

Primary practice address
1401 Pennsylvania Ave Fort Worth TX 76104-2113
Fax: (713) 432-0221
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X H8497 Texas

Profile Details

NPI number 1336146786
LBN Legal business name Wasson, Lori
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 26th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336146786 NPPES
Texas MEDICAID 121877803
Texas Other 8B0320
Texas MEDICAID 116816304
Texas Other 220030725

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