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NPI Code Detail

MEDICARE: SUSANA DAMANKA NP

MEDICARE: SUSANA DAMANKA NP
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 Practitioner1077314TX

General Provider Information

NPI Number : 1982323887
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANA DAMANKA NP
Provider Business Mailing Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-742-8387
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-742-8387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2022
Last Update Date : 01/29/2026

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