Individual
EMMANUEL E MBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 SW GREEN OAKS BULVD, SUITE 402, ARLINGTON, TX 76017
(256) 479-4472
(817) 225-2396
Mailing address
626 HAMMOND DR, MANSFIELD, TX 76063-5848
(256) 479-4472
(817) 225-2396
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
279173
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
866937
TX
Other
Enumeration date
04/27/2022
Last updated
09/19/2024
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