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Organization
DUNNAHOE MANAGEMENT & HOLDINGS LLC
Active
Organization
DUNNAHOE MANAGEMENT & HOLDINGS LLC
Active
Other names
Hometown Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOGGY DAVID JAEN MSN, RN, FNP-BC (NURSE PRACTITIONER)
(903) 602-5009
Entity
Organization
Contact information
Practice address
115 W COLLIN ST, CORSICANA, TX 75110-5222
(903) 602-5009
(903) 602-5039
Mailing address
115 W COLLIN ST, CORSICANA, TX 75110-5222
(903) 602-5009
(903) 602-5039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP134217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP134217
NPPES
TX
Enumeration date
09/19/2017
Last updated
07/21/2022
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