Individual provider · Type 1 NPI
Hendricks Agwu
Psychiatric/Mental Health Nurse Practitioner · Lewisville, TX
NPI number
1386978864
Active
Practice location
105 Kathryn Dr Bldg 3
Lewisville, TX 75067-4216
Mailing address
7240 Roble
Grand Prairie, TX 75054-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1052379 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP61183839 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1386978864
Hendricks Agwu's National Provider Identifier is 1386978864, issued on Sep 30, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lewisville, TX. The record was last updated on Sep 6, 2022.