Provider Demographics
NPI:1952822728
Name:SEBAKIJJE, ESTHER NAKATO (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:NAKATO
Last Name:SEBAKIJJE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1559 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3394
Mailing Address - Country:US
Mailing Address - Phone:972-436-0333
Mailing Address - Fax:724-367-3739
Practice Address - Street 1:1559 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3394
Practice Address - Country:US
Practice Address - Phone:972-436-0333
Practice Address - Fax:972-436-7373
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS9063207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA207Q00000XOtherFAMILY MEDICINE