Provider Demographics
NPI:1043449879
Name:BANWO, ESTHER OLUYINKA
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:OLUYINKA
Last Name:BANWO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 N GREENVILLE AVE
Mailing Address - Street 2:STE 326
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-9139
Mailing Address - Country:US
Mailing Address - Phone:214-576-6386
Mailing Address - Fax:469-854-6313
Practice Address - Street 1:315 N GREENVILLE AVE
Practice Address - Street 2:STE 326
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-9139
Practice Address - Country:US
Practice Address - Phone:214-576-6386
Practice Address - Fax:469-854-6313
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health