Michael Owusu Agyemang, APRN
Nurse Practitioner, Primary Care in Grand Prairie, TX. Individual provider (NPI-1).
NPI number1043717747
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1043717747
- Entity type
- Individual (NPI-1)
- Name
- Michael Owusu Agyemang
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2018
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | AP136284 | TX | Yes |
Practice location
2520 W I 20Grand Prairie, TX 75052-7280
Phone 972-264-5858 · Fax 972-264-8800
Mailing address
4500 S Lancaster RdDallas, TX 75216-7167
Phone 972-745-7500 · Fax 972-745-4336
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