Individual
CHRISTINA HAGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6301 GASTON AVE, SUITE 100, WEST TOWER, DALLAS, TX 75214-3922
(214) 827-3610
(214) 821-4017
Mailing address
6301 GASTON AVE, SUITE 100, WEST TOWER, DALLAS, TX 75214-3922
(214) 827-3610
(214) 821-4017
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
751589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01174436
MCRR
—
Enumeration date
01/09/2013
Last updated
07/18/2016
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