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NPI Code Detail

MEDICARE: MEDQUE FAMILY HEALTH NP. PLLC

MEDICARE: MEDQUE FAMILY HEALTH NP. PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2363L00000XNurse Practitioner
3363LP2300XPrimary Care Nurse Practitioner
4261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1154918001
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDQUE FAMILY HEALTH NP. PLLC
Provider Business Mailing Address
First Line : 1420 N COOPER ST STE 109
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-8530
Country : US
Telephone Number : 817-587-4470
Fax Number :
Provider Business Practice Location Address
First Line : 1420 N COOPER ST STE 109
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-8530
Country : US
Telephone Number : 817-587-4470
Fax Number :
Authorized Official
Title or Position : CLINICIAN
Name : CHINYERE J OKORIE
Credential : FNP
Telephone Number : 817-587-4470
Provider Enumeration Date : 12/27/2020
Last Update Date : 09/11/2023

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Directions to “MEDQUE FAMILY HEALTH NP. PLLC ” Practice Location

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