Provider Demographics
NPI:1073372652
Name:NYANGAU, FELIX OGERO (NP)
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:OGERO
Last Name:NYANGAU
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:FELIX
Other - Middle Name:OGERO
Other - Last Name:NYANGAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9756 SERVICEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-4330
Mailing Address - Country:US
Mailing Address - Phone:214-718-0945
Mailing Address - Fax:
Practice Address - Street 1:6609 MCCART AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-5633
Practice Address - Country:US
Practice Address - Phone:817-386-7670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX948164163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health