Individual
MRS. PHYLLIS D. MCCORSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNS
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4426
(214) 345-5014
Mailing address
PO BOX 2862, SHERMAN, TX 75091-2862
(903) 821-3774
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
224621
TX
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
AP103113
TX
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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