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Individual

SHAUN J. ARMONTROUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
1400 N WESTMORELAND RD, DEHARO SALDIVAR WOMEN'S HEALTH CENTER, DALLAS, TX 75211-1656
(214) 590-1401
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
672767
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199651401
TX
05
199651402
TX
05
199651403
TX
05
199651404
TX
05
199651405
TX
05
199651406
TX
05
199651407
TX
05
199651408
TX
05
199651409
TX
05
199651410
TX
01
8Y9646
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/10/2009
Last updated
04/13/2009
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