Individual
LARISSA NGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-0111
Mailing address
1110 S CESAR CHAVEZ BLVD APT 1002, DALLAS, TX 75201-6063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1119892
TX
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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