Individual
VERONICAH BANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 N COLLINS BLVD STE 106, RICHARDSON, TX 75080-3551
(410) 522-8103
Mailing address
3312 GLENMORE DR, MELISSA, TX 75454-2585
(410) 522-8103
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1017145
TX
Other
Enumeration date
01/13/2021
Last updated
02/18/2021
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