Individual
MS. TARA BETH GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
(214) 456-0829
Mailing address
3355 BLACKBURN ST, # 5101, DALLAS, TX 75204-1588
(863) 670-3170
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
777138
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
ARNP9218537
FL
Other
Enumeration date
08/24/2009
Last updated
11/27/2018
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