Provider Demographics
NPI:1366064883
Name:MUYINDA, YUNA MANIKA
Entity type:Individual
Prefix:
First Name:YUNA
Middle Name:MANIKA
Last Name:MUYINDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 SPRING DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-3161
Mailing Address - Country:US
Mailing Address - Phone:682-225-0352
Mailing Address - Fax:
Practice Address - Street 1:441 SPRING DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-3161
Practice Address - Country:US
Practice Address - Phone:682-225-0352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX923400163WH0500X
TX1099690363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis