Ma Luisa Chua Mirasol, FNP-C
Nurse Practitioner, Family in Dallas, TX. Individual provider (NPI-1).
NPI number1144814799
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1144814799
- Entity type
- Individual (NPI-1)
- Name
- Ma Luisa Chua Mirasol
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2021
- Certification date
- Sep 12, 2025
- Last updated
- Sep 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1030515 | TX | Yes |
Other names
- Ma. Luisa Rosario Chua (Former Name)
Practice location
1515 S Buckner Blvd Ste 141Dallas, TX 75217-1794
Phone 214-305-7065
Mailing address
Po Box 746079Atlanta, GA 30374-6079
Other practice locations
5616 Durst Ln
Forney, TX 75126-1937
Forney, TX 75126-1937
Phone 469-432-7772
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