Individual
ADRIANA DANIELLE DE LA RUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390-9090
(214) 648-1701
Mailing address
2185 CARMEL DR, CARROLLTON, TX 75006-2814
(469) 236-3161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16511
TX
Other
Enumeration date
11/10/2022
Last updated
04/05/2023
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