Provider Demographics
NPI:1750918082
Name:OPARA, EBERE EILEEN
Entity type:Individual
Prefix:
First Name:EBERE
Middle Name:EILEEN
Last Name:OPARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19910 MIDDLEGATE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4067
Mailing Address - Country:US
Mailing Address - Phone:346-313-0150
Mailing Address - Fax:
Practice Address - Street 1:9711 S MASON RD STE 125-650
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-7167
Practice Address - Country:US
Practice Address - Phone:281-941-2887
Practice Address - Fax:281-816-1001
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX892596163W00000X
FLTPAN518363L00000X
TX1029033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse