Individual
DARA BREANNE SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP, LP
Contact information
Practice address
6011 HARRY HINES BLVD STE V2.302, DALLAS, TX 75235-5386
(214) 645-8250
Mailing address
6011 HARRY HINES BLVD STE V5.400, DALLAS, TX 75235-5386
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1923
TX
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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