Individual
MR. DAGIM NAHUSENAY METAFERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6802 CONESTOGA DR, ROWLETT, TX 75089-7198
(972) 607-5494
Mailing address
6802 CONESTOGA DR, ROWLETT, TX 75089-7198
(972) 607-5494
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
36601414
TX
172A00000X
Driver
36601414
—
Other
Enumeration date
05/26/2023
Last updated
06/13/2023
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