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Individual

DIANNE UREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5201 HARRY HINES BLVD, SURGICAL SERVICES, DALLAS, TX 75235-7708
(214) 590-8000
(214) 648-5477
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
(214) 590-4105
(214) 590-4162

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02903
TX
363AM0700X
Medical Physician Assistant
PA02903
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8Y1949
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/12/2006
Last updated
07/31/2007
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