Individual
CARRIE MUNGAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4545 FULLER DR, SUITE 325, IRVING, TX 75038-6530
(972) 870-5511
(972) 870-5512
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
625669
TX
363LF0000X
Family Nurse Practitioner
2021008258
MO
363LF0000X
Family Nurse Practitioner
Primary
625669
TX
363LF0000X
Family Nurse Practitioner
AP30005830
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179458801
—
TX
01
—
8Y0226
BCBS OF TEXAS
TX
Enumeration date
09/20/2006
Last updated
05/16/2023
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