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Organization
JERICHO FAMILY HEALTHCARE, PLLC
Active
Organization
JERICHO FAMILY HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA LYNN TYRA FNP-C (NURSE PRACTITIONER/OWNER)
(972) 542-5811
Entity
Organization
Contact information
Practice address
1505 HARROUN AVE, SUITE C, MCKINNEY, TX 75069-3432
(972) 542-5811
(972) 542-5813
Mailing address
1505 HARROUN AVE, SUITE C, MCKINNEY, TX 75069-3432
(972) 542-5811
(972) 542-5813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
584873
TX
Other
Enumeration date
10/17/2013
Last updated
06/30/2014
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