Individual
MR. FESTUS C OBONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 JOHN HICKMAN PKWY STE 904, FRISCO, TX 75035-5894
(865) 696-9226
Mailing address
1608 SHADY GROVE CT, WYLIE, TX 75098-8144
(865) 696-9226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
817267
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP143752
TX
Other
Enumeration date
02/19/2018
Last updated
06/10/2020
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