Individual provider · Type 1 NPI

Mary Cruz Ancelmo

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1063277135 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Call (214) 648-3111 Map

Mailing address

3423 Fountain Spring Dr
Houston, TX 77066-5513

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063277135

Mary Cruz Ancelmo's National Provider Identifier is 1063277135, issued on Feb 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Feb 19, 2024.