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Individual

SANDRA LAIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ACNP

Contact information

Practice address
3921 W GREEN OAKS BLVD, SUITE D, ARLINGTON, TX 76016-2764
(817) 496-1919
(817) 496-6133
Mailing address
3921 WEST GREEN OAKS BLVD, SUITE D, ARLINGTON, TX 76016
(817) 496-1919
(817) 496-6133

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
567095
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1167991-02
TX
05
1167991-03
TX
Enumeration date
05/10/2006
Last updated
10/15/2012
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