MALLORY LYNN MCGROARTY


Address: 3500 Oak Lawn Ave Ste 760, Dallas, TX 75219-4308
Phone: 9726468346

MALLORY LYNN MCGROARTY (NPI# 1447893565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447893565
Entity Type Individual
Full Name MALLORY LYNN MCGROARTY
Credential AGNP
Practice Address 3500 Oak Lawn Ave Ste 760
Dallas
TX 75219-4308
Mailing Address 7108 Hillgreen Dr
Dallas
TX 75214-1932
Practice Telephone 9726468346
Enumeration Date 2019-10-21
Last Update Date 2019-12-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
AP142654 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3500 OAK LAWN AVE STE 760
City DALLAS
State TX
Zip Code 75219-4308

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1881229359 Laura Karmann Nurse Practitioner 1515 S Buckner Blvd Ste 141, Dallas, TX 75217-1794 2020-03-05
1659902120 Alegntaye Yirdaw Nurse Practitioner 2709 S Buckner Blvd, Dallas, TX 75227-6904 2020-02-03
1154964047 Jessica Maria Scarf Nurse Practitioner 13907 Montfort Dr Apt 2031, Dallas, TX 75240-7374 2019-10-23
1720563539 Heather Inkman Kinder Nurse Practitioner 16619 Vicarage Ct, Dallas, TX 75248-2227 2018-09-27
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Competitor

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City DALLAS
Zip Code 75219

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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