Provider Demographics
NPI:1073035812
Name:BAILEY, ADRIANNE (PA)
Entity Type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:PO BOX 797171
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75379-7171
Mailing Address - Country:US
Mailing Address - Phone:214-494-4424
Mailing Address - Fax:214-494-4423
Practice Address - Street 1:7000 PARKWOOD BLVD STE F100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7407
Practice Address - Country:US
Practice Address - Phone:214-494-4424
Practice Address - Fax:214-494-4423
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA11334363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical