Individual
SALLY S MCMILLAN-DENGERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2900 S LOOP 256, SUITE 100, PALESTINE, TX 75801-6958
(903) 723-8210
(903) 723-8310
Mailing address
PO BOX 817, PALESTINE, TX 75802-0817
(903) 727-0110
(903) 727-0210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
219839
TX
Other
Enumeration date
08/29/2005
Last updated
07/22/2014
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