Healthcare Provider Details

I. General information

NPI: 1316841968
Provider Name (Legal Business Name): JOHN O OFORI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 HAZELHURST DR
FRISCO TX
75036-7902
US

IV. Provider business mailing address

3800 HAZELHURST DR
FRISCO TX
75036-7902
US

V. Phone/Fax

Practice location:
  • Phone: 614-515-1649
  • Fax:
Mailing address:
  • Phone: 614-515-1649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number072255-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: