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NPI Code Detail

MEDICARE: CHISHAMISO ZVOBGO-HANANDA

MEDICARE: CHISHAMISO ZVOBGO-HANANDA
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
1367500000XCertified Registered Nurse AnesthetistAP130712TX

General Provider Information

NPI Number : 1124485172
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHISHAMISO ZVOBGO-HANANDA
Provider Business Mailing Address
First Line : PO BOX 840853
Second Line :
City : DALLAS
State : TX
Zip : 75284-0853
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Provider Business Practice Location Address
First Line : 12222 MERIT DR STE 600
Second Line :
City : DALLAS
State : TX
Zip : 75251-3294
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2016
Last Update Date : 06/02/2026

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Directions to “ CHISHAMISO ZVOBGO-HANANDA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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