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Individual

MR. CHARLES A MUGISHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
5120 LEERAY ROAD, KELLER, TX 76248
(181) 738-0173
Mailing address
5120 LEERAY ROAD, KELLER, TX 76248
(181) 738-0173

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
138020-030
WI
163WH0200X
Home Health Registered Nurse
750029
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
138020-030
WI
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
750029
TX

Other

Enumeration date
01/19/2007
Last updated
03/01/2009
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