Individual
AMANDA TEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 VALLEY VIEW LANE, DALLAS, TX 75244
(405) 245-6595
Mailing address
7916 NW 23RD ST # 127, BETHANY, OK 73008-4950
(405) 245-6595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205704
OK
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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