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Individual

ORDELIS MONTEJO MAGANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Contact information

Practice address
5803 SHADY HILL LN, ARLINGTON, TX 76016-2124
(682) 213-0816
Mailing address
5803 SHADY HILL LN, ARLINGTON, TX 76016-2124
(682) 213-0816

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1045294
TX
163WA2000X
Administrator Registered Nurse
1045294
TX
163WH0200X
Home Health Registered Nurse
1045294
TX
163WI0500X
Infusion Therapy Registered Nurse
1045294
TX
364SF0001X
Family Health Clinical Nurse Specialist
Primary
APRN11040684
TX

Other

Enumeration date
12/12/2025
Last updated
12/12/2025
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