Provider Demographics
NPI:1285174748
Name:AREBA, ESTHER KERUBO
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:KERUBO
Last Name:AREBA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 N CENTRAL EXPY FL 12
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2753
Mailing Address - Country:US
Mailing Address - Phone:972-853-4953
Mailing Address - Fax:
Practice Address - Street 1:2435 N CENTRAL EXPY FL 12
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2753
Practice Address - Country:US
Practice Address - Phone:972-853-4953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133027363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty