Martha Kingman Liberty N.P.

NPI 1669675914 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1669675914
Gender Female
Enumeration Date 06/06/2007
Last Updated 04/17/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
5939 HARRY HINES BLVD
POB II SUITE 603
DALLAS TX, 75390-0001, US
Phone (214) 645-5505
Fax (214) 645-5640
Business Location
5939 HARRY HINES BLVD
POB II SUITE 603
DALLAS TX, 75390-0001, US
Phone (214) 645-5505
Fax (214) 645-5640
Toxanomy
Taxonomy Code 363LA2100X
License State Texas
License Number 557107
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According to our database, Mrs. Martha Kingman Liberty N.P. NPI is 1669675914, taxonomy code is 363LA2100X and license number is 557107, license state is located at Texas. Martha Kingman Liberty N.P. physically located at 5939 Harry Hines Blvd, Dallas TX, 75390-0001. NPI Number Martha Kingman Liberty N.P. has the Individual type.

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1669675914 NPI number is provided on an as is basis without warranty of any kind. 1669675914 is maintained by the National Plan & Provider Enumeration System. The contents of Martha Kingman Liberty N.P. are for informational purposes only.