Individual
ASHLEY MABUTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-4904
Mailing address
3901 CLEAR CREEK CT, RICHARDSON, TX 75082-5602
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1023051
TX
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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