Individual
PREETHA DEEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-1125
(214) 648-3111
Mailing address
6201 HARRY HINES BLVD, DALLAS, TX 75390-7201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137602
TX
Other
Enumeration date
01/28/2022
Last updated
10/30/2023
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