Provider Demographics
NPI:1689016933
Name:PINKSTON, NATASHA MARIE
Entity Type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:MARIE
Last Name:PINKSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2713 RUSTIC FOREST RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-2421
Mailing Address - Country:US
Mailing Address - Phone:817-716-3132
Mailing Address - Fax:
Practice Address - Street 1:6302 HULEN BEND BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-2805
Practice Address - Country:US
Practice Address - Phone:817-716-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management