Provider Demographics
NPI:1972120574
Name:ONAYIGA, EYITAYO (DNP)
Entity Type:Individual
Prefix:
First Name:EYITAYO
Middle Name:
Last Name:ONAYIGA
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 FIREWHEEL PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-4023
Mailing Address - Country:US
Mailing Address - Phone:469-482-9644
Mailing Address - Fax:888-634-4803
Practice Address - Street 1:2380 FIREWHEEL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-4023
Practice Address - Country:US
Practice Address - Phone:694-829-6444
Practice Address - Fax:888-634-4803
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1026698207Q00000X, 363LF0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program