TYRA PROUT

DALLAS, TX
NPI1720739790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1048359)
Enumeration Date2022-01-12
Last Update Date2022-01-12
Business Address
TYRA PROUT NP-C
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-742-8387
Mailing Address
TYRA PROUT NP-C
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-8387