Healthcare Provider Details

I. General information

NPI: 1366094781
Provider Name (Legal Business Name): FRANCISCA OGU PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3040 CESAREO DR
GRAND PRAIRIE TX
75052-8739
US

IV. Provider business mailing address

3040 CESAREO DR
GRAND PRAIRIE TX
75052-8739
US

V. Phone/Fax

Practice location:
  • Phone: 972-481-4952
  • Fax:
Mailing address:
  • Phone: 972-481-4952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP142894
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: