Individual
VERMELLE MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4341 HORIZON PKWY 132, DALLAS, TX 75287
(214) 563-2450
(888) 311-0180
Mailing address
4341 HORIZON PKWY 132, DALLAS, TX 75287
(214) 563-2450
(888) 311-0180
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1314752
TX
Other
Enumeration date
09/04/2017
Last updated
07/21/2022
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