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NPI Code Detail

MEDICARE: DR. GUADALUPE MORA DNP, APRN, FNP-C

MEDICARE: DR. GUADALUPE MORA DNP, APRN, FNP-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 Practitioner1192379TX
2163W00000XRegistered Nurse970920TX
3208800000XUrology Physician1192379TX

General Provider Information

NPI Number : 1780469726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GUADALUPE MORA DNP, APRN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-5347
Country : US
Telephone Number : 214-645-8765
Fax Number :
Provider Business Practice Location Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-3829
Country : US
Telephone Number : 214-645-8765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 02/25/2026

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