Individual
DR. EVARISTE B NGANKEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3227 ENGLAND PKWY, GRAND PRAIRIE, TX 75054-6721
(240) 462-9734
Mailing address
3227 ENGLAND PKWY, GRAND PRAIRIE, TX 75054-6721
(240) 462-9734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301088464
MI
207R00000X
Internal Medicine Physician
Primary
N3941
TX
Other
Enumeration date
01/28/2008
Last updated
11/28/2012
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