Provider Demographics
NPI:1801420260
Name:OBUYA, HELEN ACHIENG
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:ACHIENG
Last Name:OBUYA
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 1:1832 KITTYHAWK DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-8481
Mailing Address - Country:US
Mailing Address - Phone:214-991-4588
Mailing Address - Fax:
Practice Address - Street 1:1832 KITTYHAWK DR
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-8481
Practice Address - Country:US
Practice Address - Phone:214-991-4588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX744244163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse