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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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