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Organization

CONNIES FIRST DAUGHTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMILLIA TERRELL NP (OPERATIONS DIRECTOR)
(469) 899-2901
Entity
Organization

Contact information

Practice address
2000 E LAMAR BLVD STE 600, ARLINGTON, TX 76006-7361
(469) 899-9201
(469) 899-2901
Mailing address
2000 E LAMAR BLVD STE 600, ARLINGTON, TX 76006-7361
(469) 899-2901
(469) 899-2901

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
363LF0000X
Family Nurse Practitioner
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
07/11/2024
Last updated
10/02/2025
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