Individual
MIHOKO WATANABE ABEGUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-8650
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8650
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP130658
TX
363LG0600X
Gerontology Nurse Practitioner
AP130658
TX
Other
Enumeration date
08/02/2016
Last updated
06/07/2024
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