Individual
DEEPTI KHULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP124860
TX
363LF0000X
Family Nurse Practitioner
AP124860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329635201
—
TX
01
—
8975NF
BCBS TX
TX
Enumeration date
12/16/2013
Last updated
05/31/2018
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