Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Family
Enumerated
May 16, 2007
License(s)
4872 (TX), 793295 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 11700 PRESTON RD STE 660 PMB 426 | Dallas, TX 75230-2739 | 214-507-2831 |
| LOCATION | 11615 FOREST CENTRAL DR STE 214 | Dallas, TX 75243-3910 | 214-507-2831 |
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