Individual
TAYO L MADUAGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
PO BOX 592252, SAN ANTONIO, TX 78259-0162
(407) 792-9115
Mailing address
PO BOX 592252, SAN ANTONIO, TX 78259-0162
(407) 792-9115
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1061500
TX
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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