Individual
MALLORY LYNN MCGROARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
3500 OAK LAWN AVE STE 760, DALLAS, TX 75219-4308
(972) 646-8346
Mailing address
7108 HILLGREEN DR, DALLAS, TX 75214-1932
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP142654
TX
Other
Enumeration date
10/21/2019
Last updated
12/17/2019
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