Provider Demographics
NPI:1437587532
Name:UANGBAOJE, ESTHER (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:UANGBAOJE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 ROBINSON RD STE 220
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2848
Mailing Address - Country:US
Mailing Address - Phone:214-727-8833
Mailing Address - Fax:
Practice Address - Street 1:1420 ROBINSON RD STE 220
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-2848
Practice Address - Country:US
Practice Address - Phone:214-727-8833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX767090163W00000X
TX1046060363LP0808X
COC-APN.0101506-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse