IRENE IFEYINWA MBANASOR

AUSTIN, TX
NPI1154206266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1207712)
Enumeration Date2025-08-07
Last Update Date2025-08-07
Business Address
IRENE IFEYINWA MBANASOR PMHNP
2203 W 35TH ST
AUSTIN, TX 78703-1203
Phone number: 512-454-4731
Mailing Address
IRENE IFEYINWA MBANASOR PMHNP
913 WINDSOR CASTLE DR
PFLUGERVILLE, TX 78660-7485
Phone number: 512-769-0071