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Individual

BRINDA MATAMANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C, APRN

Contact information

Practice address
12606 GREENVILLE AVE STE 185, DALLAS, TX 75243-1921
(469) 547-6541
(469) 547-6545
Mailing address
1464 WILLIAM WAY, FARMERS BRANCH, TX 75234-1332
(832) 814-6488

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139045
TX

Other

Enumeration date
12/02/2018
Last updated
11/07/2023
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