Provider Demographics
NPI:1952615023
Name:COMEAU, TORI DEANNA (FNP)
Entity type:Individual
Prefix:MRS
First Name:TORI
Middle Name:DEANNA
Last Name:COMEAU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-6483
Mailing Address - Fax:682-885-3113
Practice Address - Street 1:1933 N CENTRAL EXPY STE 520
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3685
Practice Address - Country:US
Practice Address - Phone:682-303-1000
Practice Address - Fax:682-303-0999
Is Sole Proprietor?:No
Enumeration Date:2010-08-01
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS181220363LF0000X
TN15795363LF0000X
TXAP134158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily