Individual
MRS. MICHELLE R DEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ACNP
Contact information
Practice address
1550 MOORES LN, TEXARKANA, TX 75503-4657
(903) 793-7378
Mailing address
1550 MOORES LN, TEXARKANA, TX 75503-4657
(903) 793-7378
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
719082
TX
Other
Enumeration date
08/31/2006
Last updated
02/14/2012
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