Individual
DANA R PILLANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, ACNP
Contact information
Practice address
910 E HOUSTON ST, STE 530, TYLER, TX 75702-8369
(903) 531-5560
(903) 531-5566
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP127128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345763201
—
TX
01
—
75-2616977-039
TRICARE
TX
01
—
8625NP
BCBS
TX
Enumeration date
04/15/2015
Last updated
07/31/2015
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