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Theresa Chibuoke, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Southlake, Texas
NPI 1679251557

Theresa Chibuoke is a Psychiatric/Mental Health Nurse Practitioner based in Southlake, TX and is specialized in Psychiatric/Mental Health. Theresa Chibuoke practices in Southlake, TX and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Theresa Chibuoke is 1679251557 and holds a License No. 1115822 (Texas).

The current practice location address for Theresa Chibuoke is 2131 Kirkwood Blvd Ste 100, Southlake, TX and can be reached out via phone at 817-251-4906.

Location: 2131 Kirkwood Blvd Ste 100, Southlake, TX, 76092-1529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679251557
Provider Name
Theresa Chibuoke
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
2131 Kirkwood Blvd Ste 100, Southlake, TX, 76092-1529
Phone Number
817-251-4906
Fax Number
Provider Enumeration Date
07/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2131 Kirkwood Blvd Ste 100
City
Southlake
State
Texas
Zip
76092-1540
Phone Number
817-251-4906
Fax Number
person
Provider Business Mailing Address Details
Address
2131 Kirkwood Blvd Ste 100
City
Southlake
State
Texas
Zip
76092-1540
Phone Number
817-251-4906
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1115822 (Texas)
Definition
Definition to come...
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