Individual
MARY OSTTEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17051 DALLAS PKWY STE 400, ADDISON, TX 75001-7108
(214) 370-3535
Mailing address
17051 DALLAS PKWY STE 400, ADDISON, TX 75001-7108
(214) 370-3535
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
10/16/2024
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