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Mesobella
Family Nurse Practitioner in Southlake, Texas
NPI 1689740656

Mesobella is a Family Nurse Practitioner based in Southlake, TX and is specialized in Family. Mesobella practices in Southlake, TX. The NPI Number for Mesobella is 1689740656 and holds a License No. 583243 (Texas).

The current practice location address for Mesobella is 731 E Southlake Blvd # 180, Southlake, TX and can be reached out via phone at 817-251-6376.

Location: 731 E Southlake Blvd # 180, Southlake, TX, 76092-6377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689740656
Provider Name
Mesobella
Credential
Provider Entity Type
Organization
Address
731 E Southlake Blvd # 180, Southlake, TX, 76092-6377
Phone Number
817-251-6376
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
731 E Southlake Blvd # 180
City
Southlake
State
Texas
Zip
76092-6377
Phone Number
817-251-6376
Fax Number
person
Provider Business Mailing Address Details
Address
731 E Southlake Blvd # 180
City
Southlake
State
Texas
Zip
76092-6377
Phone Number
817-251-6376
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
583243 (Texas)
Definition
Definition to come...
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