Individual
MR. CHARLES ITOE MISORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2223 S BUCKNER BLVD, DALLAS, TX 75227-8646
(305) 266-2929
(786) 558-0242
Mailing address
14500 DALLAS PKWY, DALLAS, TX 75254-8360
(256) 694-1277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1094507
AL
363LF0000X
Family Nurse Practitioner
1094507
AL
Other
Enumeration date
09/07/2006
Last updated
01/05/2023
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