Individual
MRS. BRENDA MUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0126
Mailing address
4354 CANTRELL ST, GRAND PRAIRIE, TX 75052-3444
(972) 263-6970
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
101075
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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