Individual
TINA L. WOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
6303 HARRY HINES BLVD STE 101, MAPLE WOMEN'S HEALTH CENTER, DALLAS, TX 75235-5228
(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
603152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150842601
—
TX
05
—
150842602
—
TX
05
—
150842603
—
TX
05
—
150842604
—
TX
05
—
150842605
—
TX
05
—
150842606
—
TX
05
—
150842607
—
TX
05
—
150842608
—
TX
05
—
150842609
—
TX
05
—
150842610
—
TX
05
—
150842611
—
TX
01
—
8Y2902
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/22/2006
Last updated
03/27/2009
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