Individual
IZABELLA DUTRA DE ABREU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6363 FOREST PARKE ROAD, SUITE 749, DALLAS, TX 75390-9121
(214) 645-8500
(214) 645-3775
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
BP10043212
TX
2084P0800X
Psychiatry Physician
Primary
R2087
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UZFAN3980781
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/14/2012
Last updated
07/21/2022
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