Individual
DEBBIE OATMAN-BROADNAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 TRAIL GLEN DR APT 129, DALLAS, TX 75217-5538
(214) 881-5485
Mailing address
6161 TRAIL GLEN DR APT 129, DALLAS, TX 75217-5538
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
207457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1219
LVN
—
01
—
207457
LVN
TX
Enumeration date
04/12/2018
Last updated
04/12/2018
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