Individual
WIGDAN HASSAN AHMED MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 HARBORSIDE DR STE 103, GALVESTON, TX 77555-5003
(409) 772-3695
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-5003
(409) 747-6240
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1019667
TX
Other
Enumeration date
09/08/2021
Last updated
07/28/2022
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