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WENDY FASANO PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1073094975
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
1645 N TOWN EAST BLVD STE 174, MESQUITE, TX, 751504146
Phone
(972) 270-5549
Fax
(972) 270-5558

Specialties & Taxonomies

Physician Assistant Primary License: TX #PA12094

All Addresses

LOCATION

1645 N TOWN EAST BLVD STE 174

MESQUITE, TX, 751504146

(972) 270-5549

MAILING

1519 N TOWN EAST BLVD STE 100

MESQUITE, TX, 75150

(972) 270-5549