Individual
TONY ORAFUNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2603 BAXTER DR, GRAND PRAIRIE, TX 75052-7081
(972) 974-3000
Mailing address
2603 BAXTER DR, GRAND PRAIRIE, TX 75052-7081
(972) 974-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1100702
TX
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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