Provider Demographics
NPI:1164997409
Name:ONSONGO, TERESA MOIGE
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:MOIGE
Last Name:ONSONGO
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 1:6715 BARRED OWL RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3673
Mailing Address - Country:US
Mailing Address - Phone:682-559-8028
Mailing Address - Fax:
Practice Address - Street 1:6715 BARRED OWL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3673
Practice Address - Country:US
Practice Address - Phone:682-559-8028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX954860163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse