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Individual

DR. NANA MIREKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3051 CHURCHILL DR STE 130, FLOWER MOUND, TX 75022-2710
(972) 539-0086
(972) 355-9680
Mailing address
3051 CHURCHILL DR STE 130, FLOWER MOUND, TX 75022-2710
(972) 539-0086
(972) 355-9680

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
NO282
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199915302
TX
05
199915303
TX
01
P00929479
RAILROAD MEDICARE
TX
Enumeration date
05/15/2008
Last updated
04/13/2021
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