Individual
DEANNA R MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4131 S BUCKNER BLVD, SUITE A, DALLAS, TX 75227-4318
(214) 388-0202
(214) 388-0214
Mailing address
4131 S BUCKNER BLVD STE A, DALLAS, TX 75227-4318
(214) 388-0202
(214) 388-0214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA04697
PHYSICIAN ASSISTANTS
TX
Enumeration date
07/27/2006
Last updated
06/17/2010
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