Individual
MICHELLE BETH KRASOVITSKY OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 648-3111
Mailing address
17250 KNOLL TRAIL DR APT 408, DALLAS, TX 75248-1130
(469) 831-3999
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1017402
TX
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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