Individual
MICHAEL OWUSU AGYEMANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2520 W I 20, GRAND PRAIRIE, TX 75052-7280
(972) 264-5858
(972) 264-8800
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(972) 745-7500
(972) 745-4336
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP136284
TX
Other
Enumeration date
04/09/2018
Last updated
09/28/2021
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