Healthcare Provider Details

I. General information

NPI: 1265340657
Provider Name (Legal Business Name): ESTHER CHIOMA OGOBUIRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 E PRESIDENT GEORGE BUSH HWY STE 200
RICHARDSON TX
75082-3561
US

IV. Provider business mailing address

2805 E PRESIDENT GEORGE BUSH HWY STE 200
RICHARDSON TX
75082-3561
US

V. Phone/Fax

Practice location:
  • Phone: 214-874-3657
  • Fax:
Mailing address:
  • Phone: 214-874-3657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1248714
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: