Individual
DEBRA S MCBRIDE BALTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(972) 303-2100
Mailing address
4200 LAUREN WAY, FLOWER MOUND, TX 75028-2938
(214) 469-9852
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
107882
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
501664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27555704
—
CO
Enumeration date
04/18/2007
Last updated
11/19/2024
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