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Individual

MRS. AUDRA RENATA LINCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11955 DALLAS PARKWAY, SUITE 400, FRISCO, TX 75033
(214) 396-5200
(214) 504-1796
Mailing address
11955 DALLAS PARKWAY, SUITE 400, FRISCO, TX 75033
(214) 396-5200
(214) 504-1796

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
M5745
TX
208000000X
Pediatrics Physician
Primary
M5745
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8V0288
BCBS
TX
Enumeration date
12/28/2006
Last updated
04/05/2023
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