Individual
ANNALISA TUYET BUI CREECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11970 N CENTRAL EXPY, DALLAS, TX 75243-3768
(214) 378-4655
Mailing address
2023 LOMA ALTA DR, IRVING, TX 75063-3907
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP140855
APRN LICENSE NUMBER
TX
Enumeration date
03/20/2019
Last updated
06/11/2019
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