Provider Demographics
NPI:1063738474
Name:ATUDONYANG, NICHOLAS OWON KPAR (MD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:OWON KPAR
Last Name:ATUDONYANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1120 FIREWHEEL PL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-5394
Mailing Address - Country:US
Mailing Address - Phone:469-952-8052
Mailing Address - Fax:214-865-6646
Practice Address - Street 1:1120 FIREWHEEL PL
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-5394
Practice Address - Country:US
Practice Address - Phone:469-952-8052
Practice Address - Fax:214-865-6646
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2024-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP7062207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine