Provider Demographics
NPI:1497552376
Name:KAMUANGA TSHISUAKA, MARCEL
Entity type:Individual
Prefix:MR
First Name:MARCEL
Middle Name:
Last Name:KAMUANGA TSHISUAKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 BUFFALO ST
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-4952
Mailing Address - Country:US
Mailing Address - Phone:469-685-4496
Mailing Address - Fax:
Practice Address - Street 1:5550 BUFFALO ST
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-4952
Practice Address - Country:US
Practice Address - Phone:469-685-4496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter