MEDICARE: JULIUS OSABOR OBIANKE

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	363LA2100X	Acute Care Nurse Practitioner	1010543	TX
2	363L00000X	Nurse Practitioner	1010543	TX

General Provider Information

NPI Number	:	1770190753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIUS OSABOR OBIANKE

Provider Business Mailing Address
First Line	:	1000 FALLON DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-1210
Country	:	US
Telephone Number	:	469-288-1333
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 FALLON DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-1210
Country	:	US
Telephone Number	:	469-288-1333
Fax Number	:

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

Provider Enumeration Date	:	09/24/2020
Last Update Date	:	03/10/2026

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Directions to “ JULIUS OSABOR OBIANKE ” Practice Location

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