Healthcare Provider Details

I. General information

NPI: 1124934039
Provider Name (Legal Business Name): LILLIAN AKINYI OPIYO-MUATHE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 WESTPARK WAY STE 120
EULESS TX
76040-3731
US

IV. Provider business mailing address

350 WESTPARK WAY STE 120
EULESS TX
76040-3731
US

V. Phone/Fax

Practice location:
  • Phone: 817-345-6443
  • Fax: 877-460-4216
Mailing address:
  • Phone: 817-345-6443
  • Fax: 877-460-4216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1215627
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: