MR. CHARLES EBERE OKPARA


Address: 6409 Preston Rd, Dallas, TX 75205-1610
Phone: 6029098026

MR. CHARLES EBERE OKPARA (NPI# 1174187744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174187744
Entity Type Individual
Full Name MR. CHARLES EBERE OKPARA
Credential FNP-BC
Practice Address 6409 Preston Rd
Dallas
TX 75205-1610
Mailing Address 8016 Stonehill Dr
Plano
TX 75025-2564
Practice Telephone 6029098026
Enumeration Date 2019-04-29
Last Update Date 2019-05-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
778078 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BON 778075 01

Office Location

Street Address 6409 PRESTON RD
City DALLAS
State TX
Zip Code 75205-1610

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1689288276 Chinyere Ezeh Nurse Practitioner 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 2020-09-01
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Competitor

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City DALLAS
Zip Code 75205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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