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Individual

DALLAS NICOLE HAKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5762 GRANDSCAPE BLVD STE 115, THE COLONY, TX 75056-6782
(469) 647-9344
Mailing address
421 E BROAD ST STE 4-53, MINEOLA, TX 75773-2112

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17976
TX
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
PA17976
TX

Other

Enumeration date
07/18/2023
Last updated
04/30/2026
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