Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peris B Momanyi

Individual provider Family Nurse Practitioner · NPI 1194533356

Peris B Momanyi is a Nurse Practitioner in Grand Prairie, Texas. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

3531 Ponderosa Dr
Grand Prairie, TX 75052-7858
Phone: (469) 358-9331
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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 1177246 (TX)

Record details

NPI number1194533356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2024
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024
Mailing address3531 Ponderosa Dr, Grand Prairie, TX 75052-7858

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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