Individual
MRS. AUDREY DIANE DILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OM
Contact information
Practice address
204 S. MAIN STR, SUITE 225, KELLER, TX 76248
(817) 319-5477
Mailing address
2502 BRIARCREST DR, IRVING, TX 75063-3175
(817) 291-8462
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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