Individual
SHINI T THERESIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-0006
(214) 648-3111
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 648-3111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP145335
TX
Other
Enumeration date
11/21/2022
Last updated
01/17/2024
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