MEDICARE: ADEDOYIN ESTHER OPARA

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
1	390200000X	Student in an Organized Health Care Education/Training Program		TX

General Provider Information

NPI Number	:	1386248540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEDOYIN ESTHER OPARA

Provider Business Mailing Address
First Line	:	705 PONSELLE DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-6218
Country	:	US
Telephone Number	:	209-662-2541
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 PARK SPRINGS BLVD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-3418
Country	:	US
Telephone Number	:	817-466-0677
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2020
Last Update Date	:	11/27/2020

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Directions to “ ADEDOYIN ESTHER OPARA ” Practice Location

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