Individual
SAMITRIYA SASHA KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1025470
TX
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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