Individual
MS. DOROTHY LINN BLOME
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.N., CPNP
Contact information
Practice address
12655 N CENTRAL EXPY, SUITE 300, DALLAS, TX 75243-1700
(972) 788-1858
(972) 288-2798
Mailing address
2241 FREELAND WAY, DALLAS, TX 75228-4929
(214) 321-8750
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
219423
TX
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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