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Individual

ANTHONY AMOAKO ADDAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2140 HIGHWAY 157 N, MANSFIELD, TX 76063-4847
(682) 400-4006
(682) 400-4007
Mailing address
7301 MATLOCK RD STE 111, ARLINGTON, TX 76002-3405
(817) 813-8055

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP141172
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP141172
NP LICENCE NUMBER (TEXAS BOARD OF NURSING)
TX
Enumeration date
04/01/2019
Last updated
03/24/2023
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