Individual
ROBERT HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, AC-PNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
1609 JENSEN CT, DALLAS, TX 75204-5300
(903) 293-4291
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP145984
TX
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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