Individual
CAROL S. DALLRED
Active
Individual
CAROL S. DALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, WHNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
547173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154857001
—
TX
01
—
8N3141
BCBS
TX
Enumeration date
10/13/2006
Last updated
11/29/2010
Update your record
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