Provider Demographics
NPI:1578395588
Name:DANGANAN, MARIA REGINA
Entity type:Individual
Prefix:
First Name:MARIA REGINA
Middle Name:
Last Name:DANGANAN
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 1:1701 DENALI DR APT 1001
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-2304
Mailing Address - Country:US
Mailing Address - Phone:713-360-9985
Mailing Address - Fax:
Practice Address - Street 1:1900 PINE ST.
Practice Address - Street 2:SECOND FLOOR ROOM 2801
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601
Practice Address - Country:US
Practice Address - Phone:325-670-3068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71780183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist