Provider Demographics
NPI:1013796531
Name:AWOPEGBA, FRANCIS TUNJI
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:TUNJI
Last Name:AWOPEGBA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19318 CYPRESS ARBOR CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4054
Mailing Address - Country:US
Mailing Address - Phone:414-510-3804
Mailing Address - Fax:
Practice Address - Street 1:19318 CYPRESS ARBOR CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4054
Practice Address - Country:US
Practice Address - Phone:414-510-3804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1137256363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health