Individual
CARRIE CLARK CRUMBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3133 E LEMMON AVE, DALLAS, TX 75204-1411
(469) 449-8076
Mailing address
3133 E LEMMON AVE, DALLAS, TX 75204-1411
(469) 449-8076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1068330
TX
Other
Enumeration date
07/04/2022
Last updated
08/22/2022
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