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Organization
ADVANCED NPS OF NORTH TEXAS LLC
Active
Organization
ADVANCED NPS OF NORTH TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN BLALOCK NP (PROVIDER)
(903) 563-4146
Entity
Organization
Contact information
Practice address
7 MEDICAL PKWY, FARMERS BRANCH, TX 75234-7829
(903) 563-4146
Mailing address
14902 PRESTON RD STE 404-813, DALLAS, TX 75254-9105
(903) 563-4146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
01/22/2024
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