Provider Demographics
NPI:1518447564
Name:MBUGUA, JOSEPH NJUGUNA (NP)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:NJUGUNA
Last Name:MBUGUA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12516 MAPLECREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0911
Mailing Address - Country:US
Mailing Address - Phone:972-697-8956
Mailing Address - Fax:
Practice Address - Street 1:305 W WOODARD ST STE 208
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-3136
Practice Address - Country:US
Practice Address - Phone:469-868-4233
Practice Address - Fax:469-868-4233
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK217569363LF0000X
TXAP138354363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily