Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Texas Health Presbyterian Hospital Dallas

Organization Pediatric Nurse Practitioner · NPI 1063577013

Texas Health Presbyterian Hospital Dallas provides Pediatric Nurse Practitioner services 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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