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Nicole Elizabeth Cruz, PA-C
Medical Physician Assistant in Plano, Texas
NPI 1255650107

Nicole Elizabeth Cruz is a Medical Physician Assistant based in Dallas, TX and is specialized in Medical. Nicole Elizabeth Cruz practices in Plano, TX and has the professional credentials of PA-C. The NPI Number for Nicole Elizabeth Cruz is 1255650107 and holds a License No. (Texas).

The current practice location address for Nicole Elizabeth Cruz is 5228 W Plano Pkwy, Plano, TX and can be reached out via phone at 972-250-5700 and via fax at 972-250-5748.

Location: 5228 W Plano Pkwy, Plano, TX, 75219-7655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255650107
Provider Name
Nicole Elizabeth Cruz
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5228 W Plano Pkwy, Plano, TX, 75219-7655
Phone Number
972-250-5700
Fax Number
972-250-5748
Provider Enumeration Date
05/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TEMPORARY LICENSE 01 TX TEXAS STATE LICENSE TEMPORARY
institution
Provider Business Practice Location Address Details
Address
5228 W Plano Pkwy
City
Plano
State
Texas
Zip
75093-5005
Phone Number
972-250-5700
Fax Number
972-250-5748
person
Provider Business Mailing Address Details
Address
5228 W Plano Pkwy
City
Plano
State
Texas
Zip
75093-5005
Phone Number
972-250-5700
Fax Number
972-250-5748
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
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Definition
Definition to come...
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