Healthcare Provider Details

I. General information

NPI: 1710185988
Provider Name (Legal Business Name): MRS. FRANCISCA CHINYERE NJOKU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FRANCISCA CHINYERE NJOKU

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 GUS THOMASSON RD SUITE 16
MESQUITE TX
75150-1700
US

IV. Provider business mailing address

7402 GILLON DR TT
ROWLETT TX
75089-8802
US

V. Phone/Fax

Practice location:
  • Phone: 972-681-4686
  • Fax: 972-681-4685
Mailing address:
  • Phone: 972-859-9123
  • Fax: 972-681-4685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0086602
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: