Individual
EMILY LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 633-4700
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13349
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2019
Last updated
03/16/2020
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