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Gregory Imafidon, FNP
Family Nurse Practitioner in Crystal City, Texas
NPI 1811486228

Gregory Imafidon is a Family Nurse Practitioner based in Mesquite, TX and is specialized in Family. Gregory Imafidon practices in Crystal City, TX and has the professional credentials of FNP. The NPI Number for Gregory Imafidon is 1811486228 and holds a License No. AP137759 (Texas).

The current practice location address for Gregory Imafidon is 308 S Cesar Chavez Ave, Crystal City, TX and can be reached out via phone at 830-374-2301 and via fax at 830-374-9368.

Location: 308 S Cesar Chavez Ave, Crystal City, TX, 75150-3180
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Provider Profile Details
NPI Number
1811486228
Provider Name
Gregory Imafidon
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
308 S Cesar Chavez Ave, Crystal City, TX, 75150-3180
Phone Number
830-374-2301
Fax Number
830-374-9368
Provider Enumeration Date
05/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP137759 01 TX LICENSE
F04180510 01 TX NP CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
308 S Cesar Chavez Ave
City
State
Zip
78839-4200
Phone Number
830-374-2301
Fax Number
830-374-9368
person
Provider Business Mailing Address Details
Address
308 S Cesar Chavez Ave
City
State
Zip
78839-4200
Phone Number
830-374-2301
Fax Number
830-374-9368
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP137759 (Texas)
Definition
Definition to come...
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