Individual
AUDREY MIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3040 W CAMP WISDOM RD STE 170, GRAND PRAIRIE, TX 75052-4640
(972) 645-5109
(512) 782-9316
Mailing address
3040 W CAMP WISDOM RD STE 170, GRAND PRAIRIE, TX 75052-4640
(972) 645-5109
(512) 782-9316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1191559
TX
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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