Healthcare Provider Details

I. General information

NPI: 1598999062
Provider Name (Legal Business Name): ESTHER ORIEAKU IHEUKWUMERE M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 02/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 CLARKSVILLE ST SUITE 160
PARIS TX
75460-6097
US

IV. Provider business mailing address

1055 CLARKSVILLE ST SUITE 160
PARIS TX
75460-6097
US

V. Phone/Fax

Practice location:
  • Phone: 903-785-3300
  • Fax: 903-785-3310
Mailing address:
  • Phone: 903-785-3300
  • Fax: 903-785-3310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberP3355
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number29475
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: