Individual
DR. TARA A DULLYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8160 WALNUT HILL LN STE 219, DALLAS, TX 75231-4354
(214) 369-2400
(214) 369-7528
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K4327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1693467
—
TX
Enumeration date
10/05/2005
Last updated
09/20/2019
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