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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BAYLEN CLINT BASTIBLE, PA-C

Active

BAYLEN CLINT BASTIBLE, PA-C is a Medical Physician Assistant healthcare provider located in FORT WORTH, Texas. NPI 1568401594 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FORT WORTH, TX

Registration Details

NPI Number
1568401594
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2006 (20.177844162491 yrs)
Last Updated
May 7, 2019
License
PA04507 (TX)

Practice Information

Address
6551 HARRIS PKWY
SUITE 250
FORT WORTH, TX, 761326103
Browse TX providers · Browse ZIP 76132
Phone
8172636116
Fax
8172636117
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in FORT WORTH, TX

Name Credential NPI
MR. BRYAN LEE MCCOY PA-C 1225014897
KIRK W BARRON P.A. 1871555300
ABBY C VOIGT PA-C 1700803483
MR. MICHAEL HOWARD JOHNSON PA-C 1073533725
MARK D DAVIS PA-C 1679580435
BRANDI FAGAN GOSDIN P.A.-C. 1366569691
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.