Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT199305 | TX |
Y | 2084N0402X | Child Neurologist | MD458442 | PA |
NPI | 1245525104 |
---|---|
Provider Name | Dallas Armstrong |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75235-7701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 13/10/2021 |