Individual
MS. TIRA LYNN BOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-4316
Mailing address
475 E FM 1382 UNIT 4321, CEDAR HILL, TX 75106-5198
(945) 240-1598
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
53-460003-032
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
AP121853
TX
Other
Enumeration date
01/11/2012
Last updated
02/21/2025
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