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Individual

ITITE OGHENEVWEDE AGIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC, APRN

Contact information

Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 778-4811
Mailing address
13421 LISMORE LN, PFLUGERVILLE, TX 78660-5679
(972) 536-3690

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
760674
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1095632
TX

Other

Enumeration date
09/07/2022
Last updated
10/04/2022
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