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NPI Code Detail

MEDICARE: REGBE MISGNA

MEDICARE: REGBE MISGNA
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
1343900000XNon-emergency Medical Transport (VAN)121460492CO

General Provider Information

NPI Number : 1730879198
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGBE MISGNA
Provider Business Mailing Address
First Line : 2220 BIRD ST APT 1222
Second Line :
City : FORT WORTH
State : TX
Zip : 76111-1394
Country : US
Telephone Number : 970-405-6336
Fax Number :
Provider Business Practice Location Address
First Line : 2220 BIRD ST APT 1222
Second Line :
City : FORT WORTH
State : TX
Zip : 76111-1394
Country : US
Telephone Number : 970-405-6336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2023
Last Update Date : 05/10/2023

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Directions to “ REGBE MISGNA ” Practice Location

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