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Individual

MRS. DAPHNE LEE JANE MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 300, RICHARDSON, TX 75082-4266
(972) 231-9144
(972) 231-9174
Mailing address
9101 LBJ FWY, SUITE 710, DALLAS, TX 75243-2057
(972) 792-5700
(214) 349-7707

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
627644
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8Y3222
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/16/2007
Last updated
05/15/2013
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