Individual
PEM REAINTHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
METHODIST CHARLTON MEDICAL CENTER, 3500 WEST WHEATLAND RD, DALLAS, TX 75237
(682) 225-5222
Mailing address
1218 PLATTE DR, MANSFIELD, TX 76063-6376
(682) 225-5222
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1028615
TX
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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