Individual
MRS. STEPHANIE BLISS TANCRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ENP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-5100
Mailing address
1504 BROKEN BOW TRL, CARROLLTON, TX 75007-6024
(972) 492-8352
(972) 492-8352
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
555198
TX
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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