Individual provider · Type 1 NPI
Thomas Liles, NP
Family Nurse Practitioner · Fort Worth, TX
NPI number
1336747963
Active
Practice location
4 Carlson Ct
Fort Worth, TX 76119-5901
Mailing address
Cwcu, 4 Carlson Ct
Fort Worth, TX 76119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP137858 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1336747963
Thomas Liles, NP's National Provider Identifier is 1336747963, issued on Oct 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 15, 2020.