Individual
MEENAKSHI SHAILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
1400 N WESTMORELAND RD, DEHARO-SALDIVAR HEALTH CENTER, DALLAS, TX 75211-1656
(214) 266-0580
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
744909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196033801
—
TX
05
—
196033802
—
TX
05
—
196033804
—
TX
05
—
196033805
—
TX
05
—
196033806
—
TX
05
—
196033807
—
TX
05
—
196033808
—
TX
05
—
196033809
—
TX
05
—
196033810
—
TX
01
—
88326U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/23/2007
Last updated
06/16/2009
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