Provider Demographics
NPI:1144250010
Name:NGO, ESTHER BARRANDA (APRN)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:BARRANDA
Last Name:NGO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7460 E NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-7330
Mailing Address - Country:US
Mailing Address - Phone:214-341-6418
Mailing Address - Fax:
Practice Address - Street 1:7460 E NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7330
Practice Address - Country:US
Practice Address - Phone:214-341-6418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX629306363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ20285Medicare UPIN
TX8C1282Medicare ID - Type Unspecified