Individual
KATHRYN NEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 FOREST LN STE C106, DALLAS, TX 75230-6831
(972) 566-5255
Mailing address
7777 FOREST LN STE C106, DALLAS, TX 75230-6831
(972) 566-5255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
TX
363AS0400X
Surgical Physician Assistant
Primary
PA11373
TX
Other
Enumeration date
06/12/2017
Last updated
08/12/2022
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