NPI age
10 years
Enumerated 2016-04-29
● Active
Type 1 · Individual
MS. Mayra Cruz Koedam, FNP-C
Koedam is 1 of 1215 nurse practitioner providers in Dallas and 1 of 22123 in Texas.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-04Enumerated in NPPES
2016
2026
Where they practice
Practice location
8160 Walnut Hill Ln Ste 306
Dallas, TX 752314391
Mailing address
8160 Walnut Hill Lane, Suite 306
Dallas, TX 75231
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 29 new nurse practitioner providers have been added in Dallas in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.