Individual
SANTA CARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8360
Mailing address
11377 HELMS TRL, FORNEY, TX 75126-7059
(972) 415-6520
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
648679
TX
Other
Enumeration date
11/08/2013
Last updated
11/15/2013
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