Individual
MRS. DIANA L HALBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, CPNP-AC
Contact information
Practice address
5700 DALLAS PKWY, FRISCO, TX 75034-9580
(469) 515-7100
(469) 515-7101
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-5000
(214) 443-7309
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
687839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206247308
—
TX
Enumeration date
10/26/2007
Last updated
03/07/2019
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