Individual
DR. ALISHA R. MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM, APRN
Contact information
Practice address
1300 W TERRELL AVE STE 320, FORT WORTH, TX 76104-2822
(817) 250-7360
Mailing address
5805 SANDHURST LN APT D, DALLAS, TX 75206-4925
(773) 354-2780
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1084147
TX
Other
Enumeration date
06/29/2022
Last updated
11/20/2024
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