Kara Black, DO
Family Medicine in Fort Worth, TX. Individual provider (NPI-1).
NPI number1366904591
StatusActive
Last updated in NPPESJul 5, 2023
Details
- NPI
- 1366904591
- Entity type
- Individual (NPI-1)
- Name
- Kara Black
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2019
- Certification date
- Jul 5, 2023
- Last updated
- Jul 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | T4124 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | TX |
Practice location
900 W Magnolia Ave Ste 201&203Fort Worth, TX 76104-8517
Phone 817-912-9270
Mailing address
900 W Magnolia Ave Ste 201&203Fort Worth, TX 76104-8517
Phone 817-912-9270
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