Provider Demographics
NPI:1790864775
Name:CAIQUO-SEARS, BARBARA AKOFUWAH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:AKOFUWAH
Last Name:CAIQUO-SEARS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:AKOFUWAH
Other - Last Name:CAIQUO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:5201 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7708
Mailing Address - Country:US
Mailing Address - Phone:310-982-5478
Mailing Address - Fax:
Practice Address - Street 1:5201 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7708
Practice Address - Country:US
Practice Address - Phone:214-786-4829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA14085363A00000X, 363AS0400X
TXPA14513363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical