DANELLE BLACK

DALLAS, TX
NPI1952725897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: MS  101592)
Enumeration Date2014-02-12
Last Update Date2014-02-12
Business Address
-- DANELLE BLACK RTR, ARDMS
9441 LBJ FWY SUITE 602
DALLAS, TX 75243-4545
Phone number: 469-249-1887
Mailing Address
-- DANELLE BLACK RTR, ARDMS
9441 LBJ FWY SUITE 602
DALLAS, TX 75243-4545
Phone number: 469-249-1887