Individual
VIVIAN E BIGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC WHNP
Contact information
Practice address
7424 GREENVILLE AVE, SUITE 206, DALLAS, TX 75231-4534
(214) 363-2004
(214) 696-2091
Mailing address
7424 GREENVILLE AVE, SUITE 206, DALLAS, TX 75231-4534
(214) 363-2004
(214) 696-2091
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
535945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1576290D1
TPI
TX
Enumeration date
12/19/2006
Last updated
07/08/2007
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