Provider Demographics
NPI:1194113688
Name:MUFUNDE, ESTHER (NP)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:MUFUNDE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6344 DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:N RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-4762
Mailing Address - Country:US
Mailing Address - Phone:817-849-2098
Mailing Address - Fax:
Practice Address - Street 1:5121 CHINA BERRY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4672
Practice Address - Country:US
Practice Address - Phone:615-403-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133425363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily