Individual
RATHNAMMAL N. HARIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
6303 HARRY HINES BLVD STE 101, MAPLE WOMEN'S HEALTH CENTER, DALLAS, TX 75235-5228
(214) 266-0130
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
442558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139462910
—
TX
05
—
139462914
—
TX
05
—
139462916
—
TX
05
—
139462917
—
TX
05
—
139462918
—
TX
05
—
139462919
—
TX
05
—
139462920
—
TX
05
—
139462921
—
TX
05
—
139462922
—
TX
05
—
139462923
—
TX
05
—
139462924
—
TX
01
—
8U2824
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/21/2006
Last updated
03/12/2009
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