Individual
EVANS NTENGA MOCHABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2363 AMBASSADOR CT, HEATH, TX 75126-1687
(972) 693-6228
Mailing address
2363 AMBASSADOR CT, HEATH, TX 75126-1687
(972) 693-6228
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1161912
TX
Other
Enumeration date
05/27/2024
Last updated
05/28/2024
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