Individual
MS. MEDRA M BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-9134
(214) 633-6591
Mailing address
6201 HARRY HINES BLVD, DALLAS, TX 75390-9134
(214) 633-6591
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
1034154
TX
Other
Enumeration date
10/11/2021
Last updated
11/02/2021
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