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Organization
DERA WELLNESS LLC
Active
Organization
DERA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDINMA OGUNDU NP (OWNER)
(617) 372-2571
Entity
Organization
Contact information
Practice address
2428 GREEN RIVER RD, ROYSE CITY, TX 75189-6088
(616) 173-7225
(469) 721-0500
Mailing address
2428 GREEN RIVER RD, ROYSE CITY, TX 75189-6088
(616) 173-7225
(469) 721-0500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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