person
Ms. Mayra Cruz Koedam, FNP-C
Family Nurse Practitioner in Dallas, Texas
NPI 1346695178

Mayra Cruz Koedam is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Mayra Cruz Koedam practices in Dallas, TX and has the professional credentials of FNP-C. The NPI Number for Mayra Cruz Koedam is 1346695178 and holds a License No. (Texas).

The current practice location address for Mayra Cruz Koedam is 8160 Walnut Hill Ln Ste 306, Dallas, TX and can be reached out via phone at 214-345-8060 and via fax at 214-345-8229.

Location: 8160 Walnut Hill Ln Ste 306, Dallas, TX, 75231
person
Provider Profile Details
NPI Number
1346695178
Provider Name
Mayra Cruz Koedam
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
8160 Walnut Hill Ln Ste 306, Dallas, TX, 75231
Phone Number
214-345-8060
Fax Number
214-345-8229
Provider Enumeration Date
04/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8160 Walnut Hill Ln Ste 306
City
State
Zip
75231-4391
Phone Number
214-345-8060
Fax Number
214-345-8229
person
Provider Business Mailing Address Details
Address
8160 Walnut Hill Ln Ste 306
City
State
Zip
75231-4391
Phone Number
214-345-8060
Fax Number
214-345-8229
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP130975 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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