Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP124519 | TX |
NPI | 1306273628 |
---|---|
Provider Name | Leia Fine Oh-Spradling |
First Address | Richardson, TX 75080-5708 |
Second Address | Dallas, TX 75208-2363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2013 |
Last Update Date | 19/09/2016 |