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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MIRANDA EFUA WELLINGTON, M.D.

Active Sole Proprietor

DR. MIRANDA EFUA WELLINGTON, M.D. is a Family Medicine healthcare provider located in GRAND PRAIRIE, Texas. NPI 1124314737 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GRAND PRAIRIE, TX

Registration Details

NPI Number
1124314737
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2011 (15.151020213818 yrs)
Last Updated
Jun 10, 2021
License
Q1768 (TX)
Sole Proprietor
Yes

Practice Information

Address
4927 LAKE RIDGE PKWY
SUITE 100
GRAND PRAIRIE, TX, 750523087
Browse TX providers · Browse ZIP 75052
Phone
9726419000
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GRAND PRAIRIE, TX

Name Credential NPI
MICHAEL V DAO MD 1205838588
BANAFSHEH MOSHIREE THOMAS M.D. 1205833365
KATHLEEN ELIZABETH SHARP MD 1497748529
DR. VAUGHN ANTHONY BROZEK JR. FNP-C, DC 1801889894
ADILA NIGHAT SIDDIQI D.O. 1932180296
JOSEPH LUKASKA 1265416895
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.