Individual
SUVEKCHYA SUBEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4032 VISTA MAR DRIVE, EULESS, TX 76040
(703) 677-1368
Mailing address
4032 VISTA MAR DRIVE, EULESS, TX 76040
(703) 677-1368
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1018231
TX
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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