NPI 1053894600
Elisha Mudzana
Practice location
- Address
- 7116 Libby Rd # 4253, Plano, TX 75024-4937
- Phone
- (214) 660-6830
- Mailing address
- 6009 W Parker Rd STE 149-402, Plano, TX 75093-8120
Registered specialties
Religious Nonmedical Practitioner
Primary
Registry record
- NPI
- 1053894600
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Sep 2018
- Record last updated
- 10 Sep 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.