Healthcare Provider Details

I. General information

NPI: 1356975254
Provider Name (Legal Business Name): PRECIOUS LELIA HUNT BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3133 E LEMMON AVE
DALLAS TX
75204-1411
US

IV. Provider business mailing address

3133 E LEMMON AVE
DALLAS TX
75204-1411
US

V. Phone/Fax

Practice location:
  • Phone: 214-599-2108
  • Fax:
Mailing address:
  • Phone: 214-599-2108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1012871
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: