Individual
SANDRA UMUHOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 W TERRELL AVE, FORT WORTH, TX 76104-3243
(817) 702-3100
(817) 702-4847
Mailing address
2824 FLINT ROCK DR, FORT WORTH, TX 76131-2053
(817) 231-2869
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144077
TX
Other
Enumeration date
11/19/2019
Last updated
11/30/2021
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