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NPI Code Detail

MEDICARE: GINNA L FAULKNER

MEDICARE: GINNA L FAULKNER
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
1101Y00000XCounselor97037TX

General Provider Information

NPI Number : 1972321669
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINNA L FAULKNER
Provider Business Mailing Address
First Line : 11307 FLAMINGO LN
Second Line :
City : DALLAS
State : TX
Zip : 75218-1904
Country : US
Telephone Number : 682-233-1798
Fax Number :
Provider Business Practice Location Address
First Line : 11307 FLAMINGO LN
Second Line :
City : DALLAS
State : TX
Zip : 75218-1904
Country : US
Telephone Number : 682-233-1798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2024
Last Update Date : 06/09/2026

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Directions to “ GINNA L FAULKNER ” Practice Location

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