Individual
MR. MARK MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNC, NNP
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2086
Mailing address
3500 GASTON AVE, DALLAS, TX 75246-2017
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
625650
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
625650
TX
Other
Enumeration date
04/06/2006
Last updated
11/17/2016
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