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Individual

ANNA M. SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3920 W WHEATLAND RD STE 152, DALLAS, TX 75237
(214) 467-0432
(214) 467-0635
Mailing address
3920 W WHEATLAND RD STE 152, DALLAS, TX 75237-3404
(214) 467-0432
(214) 467-0635

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP113251
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185019001
TX
01
8Y0260
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/14/2006
Last updated
05/16/2018
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