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MR. DYKSTRA FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3636
Mailing address
5800 PRESTON OAKS RD APT 1086, DALLAS, TX 75254-8709
(337) 305-1602

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP138419
TX

Other

Enumeration date
08/08/2018
Last updated
08/08/2018
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