Individual
CONNIE K LOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
7601 CHURCHILL WAY APT 529, DALLAS, TX 75251-1956
(870) 200-1552
(870) 983-2247
Mailing address
PO BOX 35, COLUMBUS, AR 71831-0035
(870) 200-1552
(870) 983-2247
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
653305
TX
Other
Enumeration date
10/03/2008
Last updated
06/25/2009
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