Most Relevant Information
Provider Data
| NPI Number: | 1003316027 |
| Provider Name: | KATHERINE ANN PANICO RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 886186 |
Most Important Dates
| Enumeration Date: | 02/16/2018 |
| Last Updated: | 02/16/2018 |
Provider Practice Location
5013 LINCOLN OAKS DR S
FORT WORTH
TX
761322291
Practice Location Phone/Fax
| Phone: | 5127857130 |
| Fax: |
Provider Mailing Location
5013 LINCOLN OAKS DR S
FORT WORTH
TX
761322291
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |