Individual
DYALA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
5508 70TH ST, LUBBOCK, TX 79424-1454
(682) 442-4142
Mailing address
5900 BALCONES DR STE 4000, AUSTIN, TX 78731-4257
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
776973
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1055727
TX
Other
Enumeration date
08/19/2021
Last updated
04/22/2022
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