Individual
CARLY EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
8355 WALNUT HILL LN, SUITE 200, DALLAS, TX 75231-4219
(214) 369-7661
(214) 265-9563
Mailing address
8355 WALNUT HILL LN, SUITE 200, DALLAS, TX 75231-4219
(214) 369-7661
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
692499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692499
TEXAS BOARD OF NURSING
TX
Enumeration date
10/07/2008
Last updated
10/07/2008
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