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NPI Code Detail

MEDICARE: REBECCA IROHA AGNP-C

MEDICARE: REBECCA IROHA AGNP-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
1363L00000XNurse PractitionerAP130922TX

General Provider Information

NPI Number : 1437506185
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA IROHA AGNP-C
Provider Business Mailing Address
First Line : 1001 N WALDROP DR STE 509
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-4703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 N WALDROP DR STE 509
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-4703
Country : US
Telephone Number : 817-394-4300
Fax Number : 817-394-0203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2016
Last Update Date : 03/31/2024

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Directions to “ REBECCA IROHA AGNP-C” Practice Location

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