Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN ROBERT FAWELL, PA
ActiveJUSTIN ROBERT FAWELL, PA is a Physician Assistant healthcare provider located in FORT WORTH, Texas. NPI 1952552291 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT WORTH, TX
Registration Details
- NPI Number
- 1952552291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2008 (17.845059052051 yrs)
- Last Updated
- Aug 15, 2019
- Licenses
-
PA19986 (CA)PA10075 (TX)
Practice Information
- Address
-
5750 W VICKERY BLVD STE 104FORT WORTH, TX, 761077448Browse TX providers · Browse ZIP 76107
- Phone
- 8177322878
- Fax
- 8177329315
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| PAMELA JEAN PLAKE | P.A.-C | 1023018645 |
| MELISSA NEAL WRIGHT | PA-C | 1215937651 |
| LUCIANA ROCHETTI | PA-C | 1497747653 |
| LAURA J JONES | PA-C | 1881686939 |
| VICTOR LAMONT HOLMES | PA | 1194711747 |
| ANN CATHERINE TEAL | PA-C | 1679561914 |
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.