Individual
VALERIE ANN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-ANP
Contact information
Practice address
3600 GASTON AVE, #651 - WADLEY, DALLAS, TX 75246-1800
(214) 820-9115
(214) 820-9135
Mailing address
3600 GASTON AVE, #651 - WADLEY, DALLAS, TX 75246-1800
(214) 820-9115
(214) 820-9135
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
737658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315359501
—
TX
Enumeration date
12/12/2012
Last updated
07/28/2023
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