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Individual
WA POUNG
Active
Individual
WA POUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1048956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048956
TEXAS STATE BOARD OF NURSING
TX
Enumeration date
11/02/2021
Last updated
08/13/2024
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