is a Family in Lake Dallas, Texas. practices all healthcare services and medical treatments related to Family. The NPI Number for is 1689831562. The last update date is .
's current location address is 503 Main St Ste C, Lake Dallas, Texas. You can contact this provider via phone number 9405355296 and fax number 9725355297. The mailing address for is 503 Main St Ste C, Lake Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 503 Main St Ste C, Lake Dallas, Texas |
| Phone Number | 9405355296 |
| Fax Number | 9725355297 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689831562 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 503 Main St Ste C |
|---|---|
| City | Lake Dallas |
| State | Texas (TX) |
| Post Code | 750652878 |
| Phone Number | 9405355296 |
| Fax Number | 9725355297 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 687867 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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