Organization
PATRICIA GRACE DANGO-CAPATI DBA SUPERIOR CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GRACE DANGO-CAPATI (CEO AND PRACTICE ADMINISTRATOR)
(718) 602-8194
Entity
Organization
Contact information
Practice address
3204 N MACARTHUR BLVD, BUILDING A, IRVING, TX 75062-4453
(817) 602-8194
Mailing address
3204 N MACARTHUR BLVD, BUILDING A, IRVING, TX 75062-4453
(817) 602-8194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
207QA0505X
Adult Medicine Physician
—
TX
207R00000X
Internal Medicine Physician
—
TX
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
TX
363AM0700X
Medical Physician Assistant
—
TX
363LF0000X
Family Nurse Practitioner
—
TX
363LP0200X
Pediatric Nurse Practitioner
—
TX
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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