Individual
MUNDELA TSHILANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 W PARK DR STE 200, IRVING, TX 75061-2034
(214) 358-2300
(214) 579-6984
Mailing address
1000 MOCKINGBIRD DR, SAGINAW, TX 76131-4868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP141711
TX
363LF0000X
Family Nurse Practitioner
AP141711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP141711
NURSE PRACTITIONER
TX
Enumeration date
11/07/2019
Last updated
02/21/2022
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