Individual
SALLY DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 S MAIN ST, FORT WORTH, TX 76104-4909
(817) 702-6926
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP121051
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP121051
TX
Other
Enumeration date
11/07/2011
Last updated
11/19/2024
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