Individual
MISS MARIA DE LOURDES CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 W NORTHWEST HWY STE 189, DALLAS, TX 75220-4972
(972) 679-7942
Mailing address
5215 AUDREY ST, DALLAS, TX 75210-3202
(972) 679-7942
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
33828
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP145529
TX
Other
Enumeration date
03/11/2020
Last updated
03/22/2024
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