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NPI Code Detail

MEDICARE: HECEN HEALTHCARE LLC

MEDICARE: HECEN HEALTHCARE LLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1477286557
Entity Type Code : Organization
Provider Name (Legal Business Name) : HECEN HEALTHCARE LLC
Provider Business Mailing Address
First Line : 4400 STATE HIGHWAY 121 STE 300
Second Line :
City : LEWISVILLE
State : TX
Zip : 75056-5157
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4400 STATE HIGHWAY 121 STE 300
Second Line :
City : LEWISVILLE
State : TX
Zip : 75056-5157
Country : US
Telephone Number : 469-251-0377
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ESTHER UANGBAOJE
Credential :
Telephone Number : 469-251-0377
Provider Enumeration Date : 07/06/2022
Last Update Date : 01/09/2025

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Directions to “HECEN HEALTHCARE LLC ” Practice Location

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