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Individual

BREEANNA KNOWLTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
3601 COPPER RIDGE DR, MCKINNEY, TX 75070-6833

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1022998
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1022998
TX

Other

Enumeration date
10/02/2025
Last updated
02/04/2026
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