Individual
PEGGY SUE CLARK-HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1004 OLD MILL CIR, IRVING, TX 75061-6125
(972) 467-4559
Mailing address
1004 OLD MILL CIR, IRVING, TX 75061-6125
(972) 467-4559
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
855933
TX
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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