Justus Mogaka
Justus Mogaka is a Nurse Practitioner in Irving, Texas. Licensed in Missouri. Registered with an NPI since 2017.
- Licensed in
- MO
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
4604 W Pioneer Dr Apt 347Irving, TX 75061-3845
Phone: (254) 577-9814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence F1216575 (MO) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence F1216575 (MO) |
Record details
| NPI number | 1932628831 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 12, 2017 |
| Last updated in NPPES | September 12, 2017 |
| Mailing address | 4604 W Pioneer Dr Apt 347, Irving, TX 75061-3845 |
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