Individual
CARA PENDERGAST NEAGOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
5303 HARRY HINES BLVD FL 8, DALLAS, TX 75390-4345
(214) 645-8650
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134572
TX
363LA2200X
Adult Health Nurse Practitioner
AP134572
TX
363LG0600X
Gerontology Nurse Practitioner
AP134572
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417470592
—
TX
Enumeration date
07/20/2017
Last updated
01/31/2019
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