MICHELLE SUMMERALL

FORT WORTH, TX
NPI1578929147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: TX  AP129835)
Enumeration Date2016-01-12
Last Update Date2019-10-21
Business Address
MICHELLE SUMMERALL
1650 SOUTH BEACH
FORT WORTH, TX 76104
Phone number: 817-702-1100
Mailing Address
MICHELLE SUMMERALL
8910 SAN BENITO WAY
DALLAS, TX 75218-4251
Phone number: 214-808-2709
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