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Individual

ANITA M. REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
802 HOPKINS ST FL 2, GARLAND WOMEN'S HEALTH CENTER, GARLAND, TX 75040-7379
(214) 266-0780
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
513924
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137793901
TX
05
137793903
TX
05
137793904
TX
05
137793905
TX
05
137793906
TX
05
137793909
TX
05
137793910
TX
05
137793911
TX
05
137793912
TX
05
137793913
TX
05
137793914
TX
05
137793915
TX
05
137793916
TX
05
137793917
TX
05
137793918
TX
05
137793919
TX
05
137793920
TX
01
8Y5196
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/21/2006
Last updated
04/06/2009
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