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1396135018
TABITHA VIOLA EAST
DALLAS, TX
NPI
1396135018
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Former Name
TABITHA VIOLA BROCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX AP126991)
Enumeration Date
2015-02-02
Last Update Date
2015-02-02
Business Address
-- TABITHA VIOLA EAST CPNP
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
Phone number: 214-456-7000
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Mailing Address
-- TABITHA VIOLA EAST CPNP
1102 HAMPSHIRE LN
CEDAR HILL, TX 75104-4118
Phone number: 214-493-0826
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