Provider Demographics
NPI:1528558087
Name:MAJEED, ANNALIESE PRUSSE (PA-C)
Entity type:Individual
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First Name:ANNALIESE
Middle Name:PRUSSE
Last Name:MAJEED
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:12700 PARK CENTRAL DR STE 1210
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1522
Mailing Address - Country:US
Mailing Address - Phone:214-987-3376
Mailing Address - Fax:469-532-0273
Practice Address - Street 1:230 E SYCAMORE ST STE 305
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5013
Practice Address - Country:US
Practice Address - Phone:903-771-4613
Practice Address - Fax:903-698-6376
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2025-03-19
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Provider Licenses
StateLicense IDTaxonomies
TXPA18596363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant