Individual
CASEY DEANNE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-7200
(214) 648-3111
Mailing address
7032 CEDAR CREEK DR, GRAND PRAIRIE, TX 75052-1371
(601) 951-2252
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1131805
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1131805
TX
Other
Enumeration date
08/16/2023
Last updated
12/12/2025
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