Individual
DR. CATHERINE ENO OKPON ONABAJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
1118 W MAIN ST, LEWISVILLE, TX 75067-3426
(972) 956-5558
(972) 956-0578
Mailing address
125 KINGSRIDGE DR, COPPELL, TX 75019-2574
(972) 745-7072
(972) 745-3181
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-12253
AR
207P00000X
Emergency Medicine Physician
K1890
TX
207Q00000X
Family Medicine Physician
Primary
K1890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137971121
—
TX
05
—
176341902
—
TX
01
—
8U0990
BLUE SHIELD
TX
Enumeration date
04/18/2006
Last updated
10/07/2019
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