Individual
DERRICK MICAH LOVE-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1705 MARTIN LUTHER KING JR BLVD, SUITE C, DALLAS, TX 75215-3222
(214) 425-5935
(972) 919-0425
Mailing address
1705 MARTIN LUTHER KING JR BLVD, SUITE C, DALLAS, TX 75215-3222
(214) 425-5935
(972) 919-0425
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
786037
TX
Other
Enumeration date
03/19/2014
Last updated
03/23/2016
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