Aaron Mua Wabang, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1115130 Issued in TX

Practice address

3309 Taylor Dr
Royse City, TX 75189-6240

Phone

(240) 426-9897

NPI assigned

May 24, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mt Enterprise Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Henderson, TX
  • NPI 1649412354
  Medicare reassignment NPD
• Mt Enterprise Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Palestine, TX
  • NPI 1043741275
  NPD
• Mt Enterprise Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Henderson, TX
  • NPI 1477383065
  NPD
• Mt Enterprise Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Mount Enterprise, TX
  • NPI 1952342149
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1306538517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 TAYLOR DR",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751896240",
            "telephone_number": "240-426-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 TAYLOR DR",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751896240",
            "telephone_number": "240-426-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WABANG",
        "first_name": "AARON",
        "middle_name": "MUA",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1115130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• U S Anesthesia Partners of Texas
• Jennifer Maureen Varghese, M.D.
• Sara Vergis
• Britney Villegas
• Susan Vogel
• Henry Jakob Wachtendorf, D.D.S.
• Kimberly H Wagner, R.N., F.N.P
• Christine Marie Waisner
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LLC

• Psychiatric/Mental Health Nurse Practitioner in Royse City, TX
• Providers in Royse City, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.