Paidamoyo Wagoneka is one of 90 nurse practitioners practicing in Mansfield, Texas .
Paidamoyo Wagoneka practices with Royal Haven Medical.
Registry record (NPPES)
NPI
1700391257
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
2384 Highway 287 N Ste 216
Enumerated
Dec 6, 2017
Record last updated
Jun 10, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in AZ, TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2384 Hwy 287 N Suite 216Mansfield , TX 76063
More nurse practitioners in Mansfield
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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