Individual
BAINDU GBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(877) 868-5351
Mailing address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(877) 868-5351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026329
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102888687
—
PA
Enumeration date
11/03/2017
Last updated
09/16/2024
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