Individual
MS. LETICIA KHOSAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P
Contact information
Practice address
6303 FOREST PARK RD, DALLAS, TX 75235-5450
(214) 648-7401
(214) 648-1955
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-8852
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP122206
TX
363LA2200X
Adult Health Nurse Practitioner
725588
TX
Other
Enumeration date
07/31/2012
Last updated
06/07/2023
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