Provider Demographics
NPI:1720693708
Name:PURCELL, SALLY (DVM)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:
Last Name:PURCELL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6150 E MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2601
Mailing Address - Country:US
Mailing Address - Phone:214-828-5800
Mailing Address - Fax:469-334-0230
Practice Address - Street 1:6150 E MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2601
Practice Address - Country:US
Practice Address - Phone:214-828-5800
Practice Address - Fax:469-334-0230
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX10748207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine