Individual
MRS. BRENDA DIANE MCGOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7405 WALLING LN, DALLAS, TX 75231-7337
(512) 574-5352
Mailing address
7405 WALLING LN, DALLAS, TX 75231-7337
(512) 574-5352
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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