Dr Catherine Eno Okpon Onabajo, MD, | |
1118 W Main St, Lewisville, TX 75067-3426 | |
(972) 956-5558 | |
(972) 956-0578 |
Full Name | Dr Catherine Eno Okpon Onabajo |
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Gender | Female |
Speciality | Family Medicine |
Location | 1118 W Main St, Lewisville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003871658 | NPI | - | NPPES |
176341902 | Medicaid | TX | |
137971121 | Medicaid | TX | |
8U0990 | Other | TX | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | E-12253 (Arkansas) | Secondary |
207P00000X | Emergency Medicine | K1890 (Texas) | Secondary |
207Q00000X | Family Medicine | K1890 (Texas) | Primary |
Entity Name | Concord Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Entity Name | Wellness & Care Group Of Texas, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487964870 PECOS PAC ID: 8921287475 Enrollment ID: O20110128001026 |
Entity Name | Lancaster Regional Hospital, Lp |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1851632616 PECOS PAC ID: 0840437257 Enrollment ID: O20150417001375 |
Mailing Address | Practice Location Address |
---|---|
Dr Catherine Eno Okpon Onabajo, MD, 125 Kingsridge Dr, Coppell, TX 75019-2574 Ph: (972) 745-7072 | Dr Catherine Eno Okpon Onabajo, MD, 1118 W Main St, Lewisville, TX 75067-3426 Ph: (972) 956-5558 |
Sheldon K Cho, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Macarthur Blvd Ste 701, Lewisville, TX 75067 Phone: 972-837-9345 Fax: 972-382-5035 | |
Phillip H Disraeli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Fm 544 Ste 200, Lewisville, TX 75056 Phone: 469-800-4250 Fax: 469-800-4260 | |
Hollie Gaeto, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1945 Lakepointe Dr, Lewisville, TX 75057 Phone: 564-216-0831 | |
Archana Chandra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 N Valley Pkwy, Suite 1, Lewisville, TX 75067 Phone: 972-353-8616 Fax: 972-353-5352 | |
Dr. Smart O Idemudia, M.D., PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W. Southwest Pkwy, Lewisville, TX 75067 Phone: 972-420-6777 Fax: 972-420-0656 | |
Hardik A Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1945 Lakepointe Dr, Lewisville, TX 75057 Phone: 800-835-2362 | |
Daniel S Sone, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2012 Justin Rd Ste 100, Lewisville, TX 75077 Phone: 972-317-1110 Fax: 972-317-1556 |