Healthcare Provider Details

I. General information

NPI: 1629512405
Provider Name (Legal Business Name): ALISON DUNAGAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2016
Last Update Date: 12/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3906 N WESTMORELAND RD
DALLAS TX
75212-1350
US

IV. Provider business mailing address

PO BOX 565846
DALLAS TX
75356-5846
US

V. Phone/Fax

Practice location:
  • Phone: 214-638-2194
  • Fax:
Mailing address:
  • Phone: 214-638-2194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP130864
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: