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1720739790
TYRA PROUT
DALLAS, TX
NPI
1720739790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1048359)
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
TYRA PROUT NP-C
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-742-8387
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Mailing Address
TYRA PROUT NP-C
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-8387
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