Organization
ADVANCED NPS OF NORTH TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN BLALOCK NP (PROVIDER)
(903) 563-4146
Entity
Organization
Contact information
Practice address
7 MEDICAL PKWY, FARMERS BRANCH, TX 75234-7829
(903) 563-4146
Mailing address
14902 PRESTON RD STE 404-813, DALLAS, TX 75254-9105
(903) 563-4146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
01/22/2024
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