MACEY PURDOM

DALLAS, TX
NPI1063183929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
(Licence: TX  1052508)
Enumeration Date2021-09-21
Last Update Date2023-03-13
Business Address
MACEY PURDOM
12890 HILLCREST RD STE 203
DALLAS, TX 75230-6562
Phone number: 972-239-2777
Mailing Address
MACEY PURDOM
420 FAIRVIEW AVE
GLEN ELLYN, IL 60137-5363
Phone number: 210-380-3080