Organization
BUENA VIDA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA SOTO FNP (FAMILY NURSE PRACTITIONER)
(214) 305-6668
Entity
Organization
Contact information
Practice address
9550 SKILLMAN ST STE 501, DALLAS, TX 75243-8261
(214) 305-6668
Mailing address
814 SMITH LN, SEAGOVILLE, TX 75159-1831
(469) 835-3011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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