Organization
PARACLETE PRIMARY HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITAS DURU OHA APRN FNP (OWNER)
(469) 223-1173
Entity
Organization
Contact information
Practice address
555 REPUBLIC DR FL 2, PLANO, TX 75074-5481
(469) 223-1173
Mailing address
3106 JACOB DR, WYLIE, TX 75098-8131
(469) 223-1173
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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