STEPHANIE BRAGG SLACK

DALLAS, TX
NPI1619417268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  803296)
Enumeration Date2017-03-01
Last Update Date2022-04-11
Business Address
STEPHANIE BRAGG SLACK NP
6242 PALO PINTO AVE
DALLAS, TX 75214-3616
Phone number: 214-707-6428
Mailing Address
STEPHANIE BRAGG SLACK NP
6242 PALO PINTO AVE
DALLAS, TX 75214-3616
Phone number: 214-707-6428