Individual
NISTA THAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5570 FM 423 SUITE 250 #2079, FRISCO, TX 75036
(210) 510-0632
Mailing address
5570 FM 423 SUITE 250 #2079, FRISCO, TX 75036
(210) 510-0632
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
12/05/2024
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