Robert Humphreys, APRN, AC-PNP
Nurse Practitioner, Pediatrics in Dallas, TX. Individual provider (NPI-1).
NPI number1164044996
StatusActive
Last updated in NPPESMay 14, 2020
Details
- NPI
- 1164044996
- Entity type
- Individual (NPI-1)
- Name
- Robert Humphreys
- Credential
- APRN, AC-PNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 14, 2020
- Certification date
- May 14, 2020
- Last updated
- May 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | AP145984 | TX | Yes |
Practice location
1935 Medical District DrDallas, TX 75235-7701
Phone 214-456-7000
Mailing address
1609 Jensen CtDallas, TX 75204-5300
Phone 903-293-4291
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