Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 574307 | TX |
NPI | 1013018142 |
---|---|
Provider Name | Ms. Fiker Zeray |
First Address | Irving, TX 75063-7206 |
Second Address | Dallas, TX 75235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 28/06/2013 |