Individual
LINDA M. LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
1400 N WESTMORELAND RD, DEHARON SALDIVAR WOMEN'S HEALTH CENTER, DALLAS, TX 75211-1656
(214) 266-0580
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
549705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177862303
—
TX
05
—
177862304
—
TX
05
—
177862305
—
TX
05
—
177862306
—
TX
05
—
177862307
—
TX
05
—
177862308
—
TX
05
—
177862309
—
TX
05
—
177862310
—
TX
05
—
177862311
—
TX
05
—
177862312
—
TX
Enumeration date
12/21/2006
Last updated
04/14/2009
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