Individual
CORRIE GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
405 SE ACCESS RD, IOWA PARK, TX 76367-6985
(940) 592-3500
Mailing address
405 SE ACCESS RD, IOWA PARK, TX 76367-6985
(940) 592-3500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1089697
TX
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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