Individual
MRS. JEANNINE WATSON TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8376
Mailing address
1613 EDEN VALLEY LN, PLANO, TX 75093-5416
(214) 325-7201
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP129861
TX
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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