Individual
AGATINA ISABELLE ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12720 HILLCREST RD STE 625, DALLAS, TX 75230-2163
(469) 830-9600
(469) 830-9601
Mailing address
9330 LYNDON B JOHNSON FWY STE 800, DALLAS, TX 75243-4310
(940) 297-7805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
05/15/2024
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