Provider Demographics
NPI:1568937209
Name:TABENYANG, ESTHER AKEM
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:AKEM
Last Name:TABENYANG
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 1:3309 HERRON DR
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0318
Mailing Address - Country:US
Mailing Address - Phone:405-314-6181
Mailing Address - Fax:
Practice Address - Street 1:3309 HERRON DR
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-0318
Practice Address - Country:US
Practice Address - Phone:405-314-6181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX810698163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse