Individual
SAMUEL NYAWANSA GWAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2224 LAKE HAVEN LN, DENTON, TX 76208-2055
(682) 554-3270
Mailing address
2224 LAKE HAVEN LN, DENTON, TX 76208-2055
(682) 554-3270
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1048011
TX
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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