Individual
TINA IHAZAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5899 PRESTON RD STE 1003, FRISCO, TX 75034-9593
(469) 888-4009
Mailing address
5899 PRESTON RD STE 1003, FRISCO, TX 75034-9593
(469) 888-4009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137756
TX
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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