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Individual

LATERICA KANISH HOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13737 NOEL RD, DALLAS, TX 75240-1331
(214) 754-8700
(214) 239-4311
Mailing address
13737 NOEL RD, DALLAS, TX 75240-1331
(214) 754-8700
(214) 239-4311

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP127223
TX
363LF0000X
Family Nurse Practitioner
735041
TX

Other

Enumeration date
01/28/2015
Last updated
01/28/2025
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