Individual
CARIESSA MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2270
(469) 647-4040
Mailing address
6121 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2270
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
17872
SC
Other
Enumeration date
07/06/2012
Last updated
10/05/2021
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