Individual
MIA CARROLL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, CHILDREN'S MEDICAL CENTER, DALLAS, TX 75235-7701
(806) 786-3781
Mailing address
1935 MEDICAL DISTRICT DR, CHILDREN'S MEDICAL CENTER, DALLAS, TX 75235-7701
(806) 786-3781
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
720959
TX
Other
Enumeration date
01/18/2013
Last updated
08/20/2020
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