Individual
RICHARD EMODOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1350 N WESTMORELAND RD, DALLAS, TX 75211-1654
(214) 331-0107
Mailing address
1350 N WESTMORELAND RD, DALLAS, TX 75211-1654
(214) 331-0107
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP129367
TX
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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