Provider Demographics
NPI:1740273804
Name:MGBEIKE, ESTHER (FNP C)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:MGBEIKE
Suffix:
Gender:F
Credentials:FNP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6511 BROAD OAKS DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-9628
Mailing Address - Country:US
Mailing Address - Phone:832-236-5193
Mailing Address - Fax:
Practice Address - Street 1:6511 BROAD OAKS DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-9628
Practice Address - Country:US
Practice Address - Phone:713-988-6835
Practice Address - Fax:713-988-5471
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX638038363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171888401Medicaid
TXQ23935Medicare UPIN
TX8D2636Medicare PIN