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General NPI Number Information
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NPI Number | 1487545133
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Entity Type | Organization
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Legal Business Name | ONYX MEDICAL CLINIC LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 8090 PRESTON RD STE 301
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City | FRISCO
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State | TX
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Zip | 75034-0365
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Country | US
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Telephone | 469-257-3500
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Fax | 469-200-6602
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Provider Business Mailing Address
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Address Line | 8090 PRESTON RD STE 301
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City | FRISCO
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State | TX
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Zip | 75034-0365
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Country | US
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Telephone | 469-257-3500
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Fax | 469-200-6602
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | BUKOLA ESHO
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Credential | MD
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Telephone | 469-257-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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