Individual
AMY RENEE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
PO BOX 429, SOUR LAKE, TX 77659-0429
(409) 782-1309
Mailing address
PO BOX 429, SOUR LAKE, TX 77659-0429
(409) 782-1309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1243459
TX
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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