Basic Information
| Provider Information | |||||||||
| NPI: | 1023399672 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BAILEY | ||||||||
| FirstName: | TONDA | ||||||||
| MiddleName: | |||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1005 W RALPH HALL PKWY STE 221 | ||||||||
| Address2: | |||||||||
| City: | ROCKWALL | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750326662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727725450 | ||||||||
| FaxNumber: | 9727725452 | ||||||||
| Practice Location | |||||||||
| Address1: | 1005 W RALPH HALL PKWY STE 221 | ||||||||
| Address2: | |||||||||
| City: | ROCKWALL | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750326662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727725450 | ||||||||
| FaxNumber: | 9727725452 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2011 | ||||||||
| LastUpdateDate: | 10/14/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 550981 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.