POLLY ANN WATERS NP

W B CARRELL MEMORIAL CLINIC

Dr POLLY ANN WATERS NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2002.

Contact

W B CARRELL MEMORIAL CLINIC

9301 N CENTRAL EXPRESSWAY
DALLAS
TX
752310805

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POLLY ANN WATERS NP Information

Npi 1417987561
Pac Id 8820085392
Professional Enrollment Id I20040427001112
Last Name WATERS
First Name POLLY
Middle Name ANN
Suffix
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 2002
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name W B CARRELL MEMORIAL CLINIC
Group Practice Pac Id 6406839497
Number Of Group Practice Members 50
Line 1 Street Address 9301 N CENTRAL EXPRESSWAY
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City DALLAS
State TX
Zip Code 752310805
Phone Number
Hospital Affiliation Ccn 1 670049
Hospital Affiliation Lbn 1 NORTH CENTRAL SURGICAL CENTER LLP
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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