Fomukong-Etta, Esongnyuo
Fomukong-Etta, Esongnyuo is an sole proprietor health care provider with primary practice located at 3050 Regent Blvd Ste 100 , Irving TX 75063-3107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fomukong-Etta, Esongnyuo can be contacted via phone (214) 689-8076.Contact Information
Primary practice address
3050 Regent Blvd Ste 100
Irving TX 75063-3107
Phone: (214) 689-8076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP131427 | Texas |
Profile Details
| NPI number | 1255886909 |
|---|---|
| LBN Legal business name | Fomukong-Etta, Esongnyuo |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2016 |
| Last updated | Mar 10th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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