is a Specialist in Dallas, Texas. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1861443483. The last update date is .
's current location address is 7777 Forest Ln., Dallas, Texas. You can contact this provider via phone number 9725662622 and fax number 9725662625. The mailing address for is 7777 Forest Ln., Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 7777 Forest Ln., Dallas, Texas |
| Phone Number | 9725662622 |
| Fax Number | 9725662625 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1861443483 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 7777 Forest Ln. |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 75230 |
| Phone Number | 9725662622 |
| Fax Number | 9725662625 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | J9819 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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