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Organization

INDIVIDUAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PRISCA CHIOMA UGHANZE FNP (FAMILY NURSE PRACTITIONER)
(817) 908-7822
Entity
Organization

Contact information

Practice address
3500 TIMBERWOOD CIR APT 2137, ARLINGTON, TX 76015-3129
(817) 908-7822
Mailing address
3500 TIMBERWOOD CIR APT 2137, ARLINGTON, TX 76015-3129
(817) 908-7822

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Enumeration date
07/11/2016
Last updated
07/11/2016
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