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Individual

MR. CHARLES EBERE OKPARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
6409 PRESTON RD, DALLAS, TX 75205-1610
(602) 909-8026
Mailing address
8016 STONEHILL DR, PLANO, TX 75025-2564

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
778078
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
778075
BON
TX
Enumeration date
04/29/2019
Last updated
12/19/2020
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