Organization
PROGRESSIVE PATHWAYS PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDOGHOGHO EDOSONMWAN (NP)
(469) 442-9930
Entity
Organization
Contact information
Practice address
1428 E ARLINGTON AVE, FORT WORTH, TX 76104-6124
(469) 442-9930
Mailing address
1428 E ARLINGTON AVE, FORT WORTH, TX 76104-6124
(469) 442-9930
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
08/07/2024
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