Individual
MR. NGOMENI M MBILIKIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3960 BROADWAY BLVD STE 140, GARLAND, TX 75043-2593
(972) 836-7985
Mailing address
940 W FM 544 UNIT 625, WYLIE, TX 75098-3330
(214) 432-1669
(214) 416-7823
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
214030
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1116341
TX
Other
Enumeration date
04/24/2023
Last updated
08/09/2024
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