Individual
MR. CASMIR COSMAS MASEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-AG
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 960-5681
Mailing address
5605 N MACARTHUR BLVD STE 740, IRVING, TX 75038-2626
(214) 960-5681
(214) 960-5681
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1080183
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1080183
TX
Other
Enumeration date
08/02/2022
Last updated
07/23/2024
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