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Organization
OGP HEALTHCARE, INC.
Active
Organization
OGP HEALTHCARE, INC.
Active
Other names
Santa Maria de Guadalupe Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVA G PACANA FNP-BC (PRESIDENT/OWNER)
(214) 679-4475
Entity
Organization
Contact information
Practice address
200 N CARRIER PKWY, STE 100, GRAND PRAIRIE, TX 75050-5476
(214) 679-4475
(972) 283-9104
Mailing address
10818 NANTUCKET DR, ROWLETT, TX 75089-8468
(214) 679-4475
(972) 283-9104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
TX
Other
Enumeration date
06/22/2012
Last updated
09/22/2013
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