Individual
MARY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
1206 PANHANDLE ST, DENTON, TX 76201-2747
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1058053
TX
363LW0102X
Women's Health Nurse Practitioner
95008617
CA
Other
Enumeration date
02/15/2018
Last updated
05/19/2023
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