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Organization
GREATER DALLAS HEALTHCARE CORPORATION
Active
Organization
GREATER DALLAS HEALTHCARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LES SANDKNOP DO (DO)
(972) 771-9081
Entity
Organization
Contact information
Practice address
1005 W RALPH HALL PKWY, SUITE 201, ROCKWALL, TX 75032-6658
(972) 771-9081
Mailing address
2075 PONCHARTRAIN DRIVE, ROCKWALL, TX 75087-6541
(214) 264-9060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP126278
FNP
TX
Enumeration date
09/11/2014
Last updated
09/11/2014
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