Individual
CAROLINE MUPANDASEKWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6000 BRYANT IRVIN RD, FORT WORTH, TX 76132-4116
(817) 292-8000
Mailing address
6000 BRYANT IRVIN RD, FT WORTH, TX 76132-4116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1000175
TX
Other
Enumeration date
08/26/2020
Last updated
03/01/2021
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