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NPI Code Detail

MEDICARE: MORNA MOKOMBORI AGOKI

MEDICARE: MORNA MOKOMBORI AGOKI
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 Practitioner1048893TX

General Provider Information

NPI Number : 1891469078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORNA MOKOMBORI AGOKI
Provider Business Mailing Address
First Line : 2620 SHADY GROVE LN
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-2715
Country : US
Telephone Number : 469-471-4702
Fax Number :
Provider Business Practice Location Address
First Line : 2701 SHORELINE DR STE 151
Second Line :
City : DENTON
State : TX
Zip : 76210-0176
Country : US
Telephone Number : 940-222-2399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2021
Last Update Date : 08/04/2021

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Directions to “ MORNA MOKOMBORI AGOKI ” Practice Location

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