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NPI Code Detail

MEDICARE: DARLENE OHABUGHIRO

MEDICARE: DARLENE OHABUGHIRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP135955TX

General Provider Information

NPI Number : 1093222119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE OHABUGHIRO
Provider Business Mailing Address
First Line : 1100 DURHAM DR
Second Line :
City : AUSTIN
State : TX
Zip : 78753-5818
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5526 S CONGRESS AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78745-3106
Country : US
Telephone Number : 732-607-2940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2018
Last Update Date : 09/21/2020

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Directions to “ DARLENE OHABUGHIRO ” Practice Location

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