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Organization
VICTORIAN HEALTHCARE
Active
Organization
VICTORIAN HEALTHCARE
Active
Other names
Victorian Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL BURKS (CO-OWNER)
(469) 386-5733
Entity
Organization
Contact information
Practice address
2602 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2309
(940) 465-8760
Mailing address
1436 BOBING DR, LEWISVILLE, TX 75067-6041
(469) 386-5733
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/25/2019
Last updated
03/27/2025
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