Healthcare Provider Details

I. General information

NPI: 1013856202
Provider Name (Legal Business Name): ESTHER YEJIN PAK FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 FM 407
DOUBLE OAK TX
75077-3031
US

IV. Provider business mailing address

8501 FM 407
DOUBLE OAK TX
75077-3031
US

V. Phone/Fax

Practice location:
  • Phone: 972-966-1980
  • Fax: 972-691-4937
Mailing address:
  • Phone: 972-966-1980
  • Fax: 972-691-4937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1230034
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1230034
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: