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NPI Code Detail

MEDICARE: NANCY A UMPHRES M.ED

MEDICARE:   NANCY A UMPHRES  M.ED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor11785TX
2106H00000XMarriage & Family Therapist003372-040128TX

General Provider Information

NPI Number : 1073671616
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY A UMPHRES M.ED
Provider Business Mailing Address
First Line : 4141 BLUE LAKE CIR
Second Line : SUITE 248
City : DALLAS
State : TX
Zip : 75244-5132
Country : US
Telephone Number : 972-233-9067
Fax Number : 972-233-9067
Provider Business Practice Location Address
First Line : 4141 BLUE LAKE CIR
Second Line : SUITE 248
City : DALLAS
State : TX
Zip : 75244-5132
Country : US
Telephone Number : 972-233-9067
Fax Number : 972-233-9067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 09/11/2025

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Directions to “ NANCY A UMPHRES M.ED” Practice Location

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