Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Texas Health Presbyterian Hospital Dallas

Organization Pediatric Nurse Practitioner · NPI 1063577013

Texas Health Presbyterian Hospital Dallas is a Pediatric Nurse Practitioner in Plano, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

900 E Park Blvd Ste 100
Plano, TX 75074-5465
Phone: (214) 345-5634
Fax: (214) 345-7046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 000431 (TX)

Record details

NPI number1063577013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James B — C · (214) 345-2815
NPI enumeratedDecember 27, 2006
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address500 E Border St, Arlington, TX 76010-7445

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