Individual
CEALEE ANTREA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2505 N HWY 360, GRAND PRAIRIE, TX 75050-7818
(214) 952-0829
Mailing address
3920 W WHEATLAND RD, SUITE 108, DALLAS, TX 75237-3401
(214) 948-7779
(214) 948-9977
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L9513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R5288
BCBS PROVIDER #
TX
Enumeration date
08/10/2006
Last updated
10/14/2022
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