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NPI Code Detail

MEDICARE: ELVIS NGYIA PHD, NP-C, PMHNP-C

MEDICARE: ELVIS NGYIA PHD, NP-C, PMHNP-C
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
1163W00000XRegistered Nurse796648TX
2363LF0000XFamily Nurse PractitionerAP120017TX
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP120017TX

General Provider Information

NPI Number : 1316245558
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVIS NGYIA PHD, NP-C, PMHNP-C
Provider Business Mailing Address
First Line : 1801 S CARRIER PKWY
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75051-3702
Country : US
Telephone Number : 972-433-0088
Fax Number : 972-646-8085
Provider Business Practice Location Address
First Line : 1801 S CARRIER PKWY
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75051-3702
Country : US
Telephone Number : 972-433-0088
Fax Number : 972-646-8085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2011
Last Update Date : 01/16/2026

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