TABITHA VIOLA EAST

DALLAS, TX
NPI1396135018
Former NameTABITHA VIOLA BROCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  AP126991)
Enumeration Date2015-02-02
Last Update Date2015-02-02
Business Address
-- TABITHA VIOLA EAST CPNP
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
Phone number: 214-456-7000
Mailing Address
-- TABITHA VIOLA EAST CPNP
1102 HAMPSHIRE LN
CEDAR HILL, TX 75104-4118
Phone number: 214-493-0826