Organization
AGAPE LIFE MULTICULTURAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARAN STAGGERS NURSE PRACTITIONER (CEO)
(214) 862-5756
Entity
Organization
Contact information
Practice address
2100 VIRGINIA ST STE F, GRAND PRAIRIE, TX 75051-3796
(214) 862-5756
(469) 332-3118
Mailing address
1024 FAIR OAKS DR, GRAND PRAIRIE, TX 75052-2718
(214) 862-5756
(469) 332-3118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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