Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
May 7, 2014
License(s)
AP125420 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 10075 WAKE BRIDGE DR | Frisco, TX 75035-4735 | 469-358-8846 |
| LOCATION | 12505 LEBANON RD | Frisco, TX 75035-8298 | 972-963-3333 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.