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Contact Information

ADDISON INTERNAL MEDICINE
17051 DALLAS PKWY STE 150
ADDISON, TX75001-7106
 Phone: 972-733-3090
 Fax: 972-733-4565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADDISON INTERNAL MEDICINE · (Female)

NPI # 1043695695
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2015
Last updated 07/24/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # AP128604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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