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Individual

GLENDA R. LEMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
5201 HARRY HINES BLVD, WISH TUBAL CLINIC, DALLAS, TX 75235-7708
(214) 590-5306
(214) 590-2798
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
568063
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144842501
TX
05
144842502
TX
05
144842503
TX
05
144842504
TX
05
144842505
TX
05
144842506
TX
05
144842507
TX
05
144842508
TX
05
144842509
TX
05
144842510
TX
05
144842511
TX
Enumeration date
12/29/2006
Last updated
03/27/2009
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