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Individual

SAIDA KHAMOOSHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
6303 HARRY HINES BLVD, MAPLE WOMEN'S HEALTH CENTER, DALLAS, TX 75235-5270
(214) 266-0130
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
667863
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200402001
TX
05
200402002
TX
05
200402003
TX
05
200402004
TX
05
200402005
TX
05
200402006
TX
05
200402007
TX
05
200402008
TX
05
200402009
TX
05
200402010
TX
01
8Y9767
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/06/2009
Last updated
05/13/2009
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