Individual
JOHNATAN MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
1001 ROBBIE MINCE WAY, DESOTO, TX 75115-2012
(972) 709-7190
(214) 941-1765
Mailing address
8479 DAVIS BLVD STE 100, NORTH RICHLAND HILLS, TX 76182-8604
(817) 953-8450
(844) 643-2362
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP126703
TX
Other
Enumeration date
01/15/2015
Last updated
01/04/2022
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