Individual
GEORGIAN MADUAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(559) 392-4376
Mailing address
1009 BEND CT, FORNEY, TX 75126-5065
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
883869
TX
Other
Enumeration date
03/06/2026
Last updated
03/18/2026
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