Provider Demographics
NPI:1942844519
Name:MARFO, BERNARD KOFI (PMHNP)
Entity Type:Individual
Prefix:
First Name:BERNARD
Middle Name:KOFI
Last Name:MARFO
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9555 LEBANON RD STE 401
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6082
Mailing Address - Country:US
Mailing Address - Phone:469-840-5152
Mailing Address - Fax:469-840-5200
Practice Address - Street 1:9555 LEBANON RD STE 401
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6082
Practice Address - Country:US
Practice Address - Phone:469-840-5152
Practice Address - Fax:469-840-5200
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2020-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPI43885363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty